VIDILLANA HERNANDEZ (NPI# 1538629290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538629290 |
| Entity Type | Individual |
| Full Name | VIDILLANA HERNANDEZ |
| Practice Address |
210 N Citrus Ave Covina CA 91723-2060 |
| Mailing Address |
7226 Sepulveda Blvd Van Nuys CA 91405-2003 |
| Practice Telephone | 8182351414 |
| Mailing Telephone | 8182351414 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| 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 |
210 N CITRUS AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91723-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922344720 | Maryam Vosogh | Behavioral Analyst | 210 N Citrus Ave, Covina, CA 91723-2060 | 2012-12-25 |
| 1821602392 | Jose Antonio Ixta-matute | Behavior Technician | 210 N Citrus Ave, 1, Covina, CA 91723 | 2020-09-02 |
| 1740749902 | Shantel Lopez | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-18 |
| 1255890398 | Shira Carroll | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-18 |
| 1497214548 | Angela Cynthia Wang | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-18 |
| 1770042061 | Lucia C Herrera | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-16 |
| 1609335074 | Vinky Zheng | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-15 |
| 1730647405 | Adelina Ixta | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-12 |
| 1578021291 | Noemi Cuevas-carbajal | Behavior Technician | 210 N Citrus Ave, Covina, CA 91723-2060 | 2019-03-12 |
| 1245755248 | Michael Dinh Nguyen | Behavioral Analyst | 210 N Citrus Ave, Covina, CA 91723-2060 | 2017-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| 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 |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1326665282 | Veronica Delgado | Behavior Technician | 1163 W Badillo St Apt 4, Covina, CA 91722-4168 | 2020-06-26 |
| 1174172175 | Stephanie Marie Chavez | Behavior Technician | 1343 N Grand Ave Ste 200, Covina, CA 91724-4043 | 2019-09-11 |
| 1669931796 | Adele Brandt | Behavior Technician | 201 N Citrus Ave Ste A1, Covina, CA 91723-2004 | 2019-03-18 |
| 1871052241 | Moncia A Merlos | Behavior Technician | 210 N Citrus Ave # A1, Covina, CA 91723-2060 | 2019-03-15 |
| 1356800700 | Ashley Lynn Duran | Behavior Technician | 210 N Citrus Ave Ste A, Covina, CA 91723-2061 | 2019-03-15 |
| 1689133118 | Kelly Stanger | Behavior Technician | 210 N Citrus Ave Ste A191723, Covina, CA 91723-2060 | 2019-03-14 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1881209674 | Maribel Garcia | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723-2060 | 2020-09-09 |
| 1821602392 | Jose Antonio Ixta-matute | Behavior Technician | 210 N Citrus Ave, 1, Covina, CA 91723 | 2020-09-02 |
| Find all providers in COVINA | ||||
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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.