NICHOLAS JACQUE (NPI# 1487118360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487118360 |
| Entity Type | Individual |
| Full Name | NICHOLAS JACQUE |
| Practice Address |
1401 Parkmoor Ave Ste 208 San Jose CA 95126-3407 |
| Mailing Address |
390 Union Blvd Ste 300 Lakewood CO 80228-6514 |
| Practice Telephone | 4088850805 |
| Mailing Telephone | 7079337252 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1401 PARKMOOR AVE STE 208 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225468895 | Adeline I Leen Low | Behavioral Analyst | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2013-11-19 |
| 1821552795 | Kendall Watson | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1336603216 | Brenda Escamilla | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1821552704 | Yasmeen Elkadi | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1649734526 | Jayla Kadmusow | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1730643628 | Christine Duong | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1558825422 | Nicholas Hoang | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1376007252 | Citlalli Parra Torres | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1205390184 | Leann Sanchez | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
| 1841754728 | Jessica Brasil | Behavior Technician | 1401 Parkmoor Ave Ste 208, San Jose, CA 95126-3407 | 2019-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1720685357 | Natia Chitadze | Behavior Technician | 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 | 2020-10-06 |
| 1235746306 | Patricia Yazmin Landa Garibay | Behavior Technician | 820 N Jackson Ave, San Jose, CA 95133-1223 | 2020-09-23 |
| 1134739022 | Esperanza Garnica | Behavior Technician | 346 Menker Ave, San Jose, CA 95128-2401 | 2020-08-05 |
| 1629688593 | Jael Nunez Saavedra | Behavior Technician | 1497 Saratoga Ave, San Jose, CA 95129-4938 | 2020-08-05 |
| 1194334839 | Jason Sanders Jr. | Behavior Technician | 1590 De Rose Way, San Jose, CA 95126-4141 | 2020-07-29 |
| 1134738875 | Ugochukwu Kas-osoka | Behavior Technician | 164 Park Sharon Dr, San Jose, CA 95136-2535 | 2020-07-29 |
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1114544376 | Katrina Chua | Behavior Technician | 369 Longhill Ct, San Jose, CA 95138-1392 | 2020-07-02 |
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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.