NICOLAS PABLO CHAVEZ (NPI# 1538760574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538760574 |
| Entity Type | Individual |
| Full Name | NICOLAS PABLO CHAVEZ |
| Practice Address |
4001 Office Court Dr Ste 706 Santa Fe NM 87507-4958 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 5053959611 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | UNITED HEALTHCARE | 961528456 | 01 |
| UNITED HEALTHCARE | 915204 | 01 |
| Street Address |
4001 OFFICE COURT DR STE 706 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801252846 | Star Lipe | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2016-01-06 |
| 1386242303 | Divara Harper | Behavior Technician | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2020-10-12 |
| 1942833652 | Tyra Jazmin Borrego-lopez | Behavior Technician | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2020-02-20 |
| 1144852781 | Kennedy Siegman | Behavior Technician | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2020-02-11 |
| 1134759343 | Jacee Danielle Smith | Behavior Technician | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2020-01-16 |
| 1922647445 | Emma Tragert | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2020-01-01 |
| 1780220038 | Haven Girmendonk | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2019-11-21 |
| 1841836103 | Sebastian Tapia | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2019-11-21 |
| 1295371540 | Lorena Lopez Vargas | Behavior Technician | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2019-11-21 |
| 1639725492 | Rachel Willgohs | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| 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 |
|---|---|---|---|---|
| 1457958001 | Denise De La Cruz | Behavior Technician | 3300 Siringo Rd, Santa Fe, NM 87507-5053 | 2020-10-07 |
| 1427665934 | Karmela Bower | Behavior Technician | 2324 Calle Pacifica, Santa Fe, NM 87505-5504 | 2020-09-29 |
| 1558976076 | Stephanie Malouf | Behavior Technician | 1475 Rodeo Rd Apt 214, Santa Fe, NM 87505-6854 | 2020-09-11 |
| 1902419088 | Justin Colin | Behavior Technician | 4754 Morning Ln, Santa Fe, NM 87507-9169 | 2020-08-28 |
| 1578180063 | Breana Abeyta | Behavior Technician | 4620 Apache Knl, Santa Fe, NM 87507-1693 | 2020-06-30 |
| 1992320972 | Gladis Lopez | Behavior Technician | 3532 Jon Kim Ln, Santa Fe, NM 87507-9009 | 2020-06-15 |
| 1881219947 | Emily Koontz | Behavior Technician | 1826 Paseo De La Conquistadora, Santa Fe, NM 87501-2341 | 2020-06-14 |
| 1528682077 | Kevin Edwards | Behavior Technician | 712 Avenida Castellano, Santa Fe, NM 87501-8902 | 2020-06-01 |
| 1265053037 | Victoria Luciana Ramon | Behavior Technician | 825 Calle Mejia Apt 932, Santa Fe, NM 87501-1481 | 2020-05-02 |
| 1427678739 | Flavia Purpura-pontoniere | Behavior Technician | 153 E Lupita Rd, Santa Fe, NM 87505-4715 | 2020-04-16 |
| Find all providers in SANTA FE | ||||
Please comment or provide details below to improve the information on NICOLAS PABLO CHAVEZ.
| 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.