MARY JACQUELYN ANDRADE (NPI# 1437761335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437761335 |
| Entity Type | Individual |
| Full Name | MARY JACQUELYN ANDRADE |
| Practice Address |
400 29th St Ste 204 Oakland CA 94609-3547 |
| Mailing Address |
Po Box 399318 San Francisco CA 94139-9318 |
| Practice Telephone | 5109878256 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571726 | Mary Alice Andrade | Nurse Practitioner | 5001 N Piedras St, El Paso, TX 79930-4210 | 2015-10-20 |
| Street Address |
400 29TH ST STE 204 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326356536 | Jessica Jean Remer Gable | Case Manager/Care Coordinator | 400 29th St Ste 204, Oakland, CA 94609 | 2010-09-22 |
| 1780296806 | Amy Ortiz | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-19 |
| 1407468770 | Erika Barajas | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-18 |
| 1407467988 | Rachael Nicole Chetner | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1528679008 | Angela Dayrit | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1720699291 | Maria Rocio Soria | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1457962920 | Elizabeth Ann Patrick | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1881205367 | Aunahlicia Lavonne Wilkins | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1952911356 | Jolan W Glover | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-07-31 |
| 1730798299 | Julio Cesar Jalate Gonzalez | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707254 | Sarah Feng | Behavioral Analyst | 1127 Wellington St, Oakland, CA 94602-1342 | 2020-10-09 |
| 1881205110 | The Autism Impact Circle | Behavioral Analyst | 9015 Sage Rd, Oakland, CA 94605-4603 | 2020-08-11 |
| 1912517533 | Kimberly Joan Krafft | Behavioral Analyst | 9 Princeton Ter, Oakland, NJ 07436-3507 | 2020-08-07 |
| 1437769866 | Olivia Hartos | Behavioral Analyst | 43 Nokomis Ave, Oakland, NJ 07436-2119 | 2020-07-31 |
| 1396371456 | Zhivka Stoilova Vasileva-winbush | Behavioral Analyst | 160 Franklin St, Oakland, CA 94607-3713 | 2020-03-19 |
| 1255966305 | Janis Marie Peterson | Behavioral Analyst | 6317 Majestic Ave Apt 3, Oakland, CA 94605-1877 | 2020-03-10 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1629615307 | Autumn M Lai | Behavioral Analyst | 1950 21st Ave, Oakland, CA 94606-4663 | 2019-12-02 |
| 1558907295 | Nancy Gates | Behavioral Analyst | 617 La Prenda Dr, Oakland, CA 94603-3542 | 2019-11-18 |
| 1841831518 | Stephanie Lizette Baez-aguilar | Behavioral Analyst | 1222 88th Ave, Oakland, CA 94621-1116 | 2019-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.