SHANNON JACOB (NPI# 1508470337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508470337 |
| Entity Type | Individual |
| Full Name | SHANNON JACOB |
| Practice Address |
2008 Mangrove Way Antioch CA 94509-9370 |
| Practice Telephone | 9253295135 |
| Mailing Telephone | 9253295135 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| 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 |
| Street Address |
2008 MANGROVE WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1861001109 | Claudine Keshia Guerrier | Behavior Technician | 3305 Canim Ct, Antioch, CA 94509-5916 | 2020-07-23 |
| 1881227353 | Kelly M Wetzel | Behavior Technician | 5408 Piute Way, Antioch, CA 94531-9023 | 2020-02-12 |
| 1336788454 | Isabela Guadalupe Correa | Behavior Technician | 4320 Folsom Dr, Antioch, CA 94531-8211 | 2020-01-06 |
| 1982241337 | Jacquelyn Haller | Behavior Technician | 2345 Cypress St, Antioch, CA 94509-5247 | 2019-12-04 |
| 1851934632 | Jerrico Balingit Lopez | Behavior Technician | 2088 Beechwood Way, Antioch, CA 94509-9368 | 2019-10-23 |
| 1275183345 | Brizeida Soto Lopez | Behavior Technician | 1781 Vineyard Dr, Antioch, CA 94509-8552 | 2019-09-19 |
| 1427608868 | Teressa Ann Cole | Behavior Technician | 2708 Joshua Ct, Antioch, CA 94509-7764 | 2019-09-18 |
| 1326695172 | Brandaizha Necole Dunn | Behavior Technician | 1113 Prewett Ranch Dr, Antioch, CA 94531-8095 | 2019-08-26 |
| 1871148320 | Jonah Mai Abad Gacayan | Behavior Technician | 3100 Delta Fair Blvd # 3104, Antioch, CA 94509-4001 | 2019-08-01 |
| Find all providers in ANTIOCH | ||||
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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.