SHELBY BRYEANS (NPI# 1467986075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467986075 |
| Entity Type | Individual |
| Full Name | SHELBY BRYEANS |
| Practice Address |
7949 California Ave Ste 15 Fair Oaks CA 95628 |
| Mailing Address |
7949 California Ave Ste 15 Fair Oaks CA 95628-7156 |
| Practice Telephone | 9168637949 |
| Mailing Telephone | 9168637949 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7949 CALIFORNIA AVE STE 15 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007538 | Cayleen Villamor | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-06-08 |
| 1114542982 | Sarah Nguyen | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-06-08 |
| 1144845918 | Ermelaine Bedia | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-06-08 |
| 1871118646 | Jessica Hernandez | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-06-08 |
| 1417576091 | Sheridan Foster | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-04-13 |
| 1326667908 | Christopher Musser-kirby | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-04-13 |
| 1962021543 | Jessica Spicer | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-04-13 |
| 1568097178 | Arianna Castillo | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-03-04 |
| 1730714346 | Ariana Amaya | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-03-04 |
| 1992338362 | Joel Rogers | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| 1982954269 | Simson, Wynn and Williams | Counselor | 7844 Madison Ave., Suite 106, Fair Oaks, CA 95628 | 2012-09-14 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270245 | Tamara Craig | Behavior Technician | 7840 Madison Ave Ste 130, Fair Oaks, CA 95628-3589 | 2020-06-17 |
| 1356994206 | Loretta Lorraine Kirby | Behavior Technician | 10513 Fair Oaks Blvd, Fair Oaks, CA 95628-7268 | 2019-07-19 |
| 1003371535 | Wesley Mapua Rodriguez | Behavior Technician | 5136 Kenneth Ave, Fair Oaks, CA 95628-5332 | 2019-02-08 |
| 1194228742 | Chelsea Schottenloher | Behavior Technician | 9160 Madison Ave Apt 86, Fair Oaks, CA 95628-7706 | 2018-03-09 |
| 1336650530 | Jenna Leigh Yanowsky | Behavior Technician | 10930 Fair Oaks Blvd Apt 31, Fair Oaks, CA 95628-5932 | 2017-10-16 |
| 1457861197 | Mirra Lynn Lewis | Behavior Technician | 7542 Widgeon Way, Fair Oaks, CA 95628-5731 | 2017-10-09 |
| 1972013027 | Nicholas Dibble-ciudad | Behavior Technician | 4839 Vir Mar St Apt 9, Fair Oaks, CA 95628-8002 | 2017-10-03 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1023535416 | Erika Cervantes | Behavior Technician | 7008 Laurel Oak Way, Fair Oaks, CA 95628-3110 | 2017-08-25 |
| 1235744954 | Thea Engell | Behavior Technician | 7949 California Ave, Fair Oaks, CA 95628-7156 | 2020-09-10 |
| Find all providers in FAIR OAKS | ||||
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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.