VERALEY IDANAN (NPI# 1588285258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588285258 |
| Entity Type | Individual |
| Full Name | VERALEY IDANAN |
| Practice Address |
4701 Patrick Henry Dr Bldg 25 Santa Clara CA 95054-1863 |
| Practice Telephone | 6197959925 |
| Mailing Telephone | 6197959925 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| 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 |
| Street Address |
4701 PATRICK HENRY DR BLDG 25 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639558406 | Megan Lindsey | Behavioral Analyst | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2015-05-26 |
| 1952909566 | Cassidy N Bourdon | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-10-15 |
| 1770181380 | Dalia Pimentel | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-10-15 |
| 1982202586 | Navreet K Sahota | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-10-15 |
| 1346848959 | Lauren K Broker | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-10-15 |
| 1851903736 | Valery Michelle Contreras | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-08-20 |
| 1790306454 | Akasha Liu Abraham | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-05-04 |
| 1841811510 | Ijezie V Ugo | Behavior Technician | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2020-05-04 |
| 1619513892 | Mebe San Francisco, LLC | Occupational Therapist | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2019-11-21 |
| 1114497658 | Gogo Technologies, Inc. | Home Health | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2018-11-27 |
| 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.