CORY WILSON (NPI# 1487136628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487136628 |
| Entity Type | Individual |
| Full Name | CORY WILSON |
| Credential | BA |
| Practice Address |
2825 W Rumble Rd Modesto CA 95350-0185 |
| Mailing Address |
2630 W Rumble Rd Modesto CA 95350-0155 |
| Practice Telephone | 2095799444 |
| Mailing Telephone | 2095799444 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689648966 | Cory M Wilson | Emergency Medicine | 27716 Wilderness Pl, Castaic, CA 91384-4117 | 2006-02-14 |
| 1336643311 | Cory Robert Wilson | Chiropractor | 2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549 | 2018-03-22 |
| 1215472196 | Cory Wilson | Marriage & Family Therapist | 600 N 130th St, Seattle, WA 98133-7946 | 2016-12-30 |
| 1073630448 | Cory Wilson | Counselor | 2275 S Main St Ste 201, Corona, CA 92882-5303 | 2007-03-23 |
| 1831137694 | Cory A Wilson | Emergency Medicine | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2006-06-03 |
| Street Address |
2825 W RUMBLE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-0185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255883302 | Behavioral & Educational Strategies & Training | Behavioral Analyst | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2016-10-25 |
| 1386126522 | Sarah Tachine Rodriguez | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-09-04 |
| 1659853893 | Ivonne Garcia De Leon | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-09-04 |
| 1851877047 | Martin Rangel | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-07-11 |
| 1043703408 | Ella Grover | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-06-11 |
| 1609369040 | Kylee Dubois | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-06-11 |
| 1437642881 | Nikole Dickman | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-06-11 |
| 1841792157 | Lizeth Martinez-ochoa | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-03-02 |
| 1285135129 | Olga Ubryanova | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-02-26 |
| 1144721374 | Clarissa Correa | Behavior Technician | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1023622206 | Paloma Salcido | Behavior Technician | 5325 Avenue D, Modesto, CA 95358-9445 | 2020-09-03 |
| 1417561812 | Rosalie Martinez | Behavior Technician | 810 1/2 Wright St, Modesto, CA 95350-5952 | 2020-09-02 |
| 1649804683 | Laica Jean Marte | Behavior Technician | 2801 Braden Ave Apt 324, Modesto, CA 95356-0660 | 2020-02-28 |
| 1346880721 | Venice Nomof | Behavior Technician | 420 Fusco Ave, Modesto, CA 95354-1611 | 2020-01-13 |
| 1609334424 | Chanelle Mendoza | Behavior Technician | 3136 Honey Bee Ct, Modesto, CA 95356-0116 | 2019-03-11 |
| 1003386764 | Angelica Hermelinda Nila | Behavior Technician | 2617 Medinah Ct, Modesto, CA 95355-9666 | 2018-11-26 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1992208219 | Ariana Dominguez | Behavior Technician | 1613 Briarwood Dr, Modesto, CA 95355-1522 | 2018-03-13 |
| 1851894497 | Ashley Marie Leal | Behavior Technician | 2908 Amir Pl, Modesto, CA 95355-8724 | 2018-03-09 |
| 1225530884 | Emily Marie Casarez | Behavior Technician | 3425 Coffee Rd Ste 2, Modesto, CA 95355-1582 | 2018-02-28 |
| Find all providers in MODESTO | ||||
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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.