ETHAN DYLAN BROWN (NPI# 1568094977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094977 |
| Entity Type | Individual |
| Full Name | ETHAN DYLAN BROWN |
| Practice Address |
3170 De La Cruz Blvd Ste 107 Santa Clara CA 95054-2411 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 4084238076 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Y4325468 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962421 | Ethan Brown | Case Manager/Care Coordinator | 230 N Columbus St, Lancaster, OH 43130-3093 | 2019-10-08 |
| 1669990024 | Ethan Brown | Physical Therapist | 321 W Bruce St Ste B, Seymour, IN 47274-2380 | 2017-09-06 |
| 1467809046 | Ethan William Brown | Physical Therapist | 2206 State St, Suite 300, New Albany, IN 47150-4925 | 2016-05-24 |
| 1417213505 | Ethan G Brown | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2012-04-03 |
| 1740204072 | Ethan Todd Brown | Emergency Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2006-07-27 |
| Street Address |
3170 DE LA CRUZ BLVD STE 107 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114430428 | Matthew Del Rosario | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2017-11-08 |
| 1255943304 | Kaylee Ana Silber | Behavior Technician | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2020-08-20 |
| 1477161867 | Lydia Quiros | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2020-07-21 |
| 1588212518 | Priscilla Evangelina Corona | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-09-03 |
| 1770131807 | Evelyn Gonzalez | Behavior Technician | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-09-02 |
| 1295382513 | Ricardo Quintero Jr. | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-08-21 |
| 1558916940 | Horacio Sanchez | Behavior Technician | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-08-03 |
| 1144881046 | Emilia Savini | Behavior Technician | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-06-22 |
| 1932764073 | Giuliano P Foppiano | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-05-03 |
| 1366005043 | Cameron Jacob Macleod Day | Behavior Technician | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2019-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| 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 |
|---|---|---|---|---|
| 1215543491 | Lashanette Jeanean Breazell | Behavior Technician | 50 Washington St Apt 37, Santa Clara, CA 95050-6143 | 2020-09-22 |
| 1104432822 | Kahleah Bynah Dugan | Behavior Technician | 4701 Patrick Henry Dr Bldg 6, Santa Clara, CA 95054-1863 | 2020-09-17 |
| 1093347478 | Yesenia Paredez | Behavior Technician | 2403 Homestead Rd Apt 2, Santa Clara, CA 95050-5563 | 2020-02-04 |
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1992346894 | Samantha Mulhern | Behavior Technician | 1632 Santa Clara St Apt 1, Santa Clara, CA 95050-5496 | 2019-10-01 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1568027985 | Claudia Espinoza Padilla | Behavior Technician | 2334 Walsh Ave, Santa Clara, CA 95051-1342 | 2019-05-01 |
| 1023580677 | Kevin Chen | Behavior Technician | 2334 Walsh Ave Ste D, Santa Clara, CA 95051-1319 | 2018-12-20 |
| 1144700063 | Zoe Phillippa Hurley | Behavior Technician | 3170 De La Cruz Blvd # 105&107, Santa Clara, CA 95054-2436 | 2018-08-20 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
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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.