JENESIS ULLOA (NPI# 1598266678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598266678 |
| Entity Type | Individual |
| Full Name | JENESIS ULLOA |
| Practice Address |
865 Marina Bay Pkwy Ste 37 Richmond CA 94804-6426 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5104226311 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| 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 |
865 MARINA BAY PKWY STE 37 |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861993065 | Melissa Corrin Colmenares | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2018-02-22 |
| 1831723139 | Brahamjot Kaur | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2020-02-25 |
| 1194355545 | Jayla Rush | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2020-01-23 |
| 1649818980 | Kiara Nicole Harper | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-12-17 |
| 1548808850 | Alexander Brandon Walker-griffin | Counselor | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-12-17 |
| 1598307142 | Luis Ricardo Armenta | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-10-16 |
| 1144862616 | Preston Dominic Thongvilay | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-10-16 |
| 1528609021 | Joshua E Sosa | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-10-05 |
| 1346801297 | Adalia Marie Ortiz | Behavior Technician | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-06-21 |
| 1558828913 | Jessica Shanell Moreno | Behavioral Analyst | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| 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 |
|---|---|---|---|---|
| 1972104750 | Dmetric Brown | Behavior Technician | 3771 South A St, Richmond, IN 47374-6053 | 2020-11-06 |
| 1982203139 | Cenata Alexandria Jackson | Behavior Technician | 7353 Whitepine Rd Bldg G, Richmond, VA 23237-2260 | 2020-10-20 |
| 1104424209 | Laichoy Saechao | Behavior Technician | 611 Nevin Ave Apt B, Richmond, CA 94801-3075 | 2020-10-12 |
| 1932710852 | Thuy Ngoc Tran | Behavior Technician | 8814 Sunrise Terrace Ln, Richmond, TX 77407-4760 | 2020-08-13 |
| 1760091011 | Estefania Yamilet Rodriguez | Behavior Technician | 2360 Gaynor Ave, Richmond, CA 94804-1354 | 2020-07-23 |
| 1518582576 | Eric C Krupnick | Behavior Technician | 7113 Three Chopt Rd # 301, Richmond, VA 23226-3643 | 2020-06-15 |
| 1114540945 | Fiorella Nicolle Via | Behavior Technician | 2838 Lincoln Ave, Richmond, CA 94804-1324 | 2020-05-27 |
| 1356960694 | Shant'e Lynette Bellamy | Behavior Technician | 4906 Cutshaw Ave Ste 200, Richmond, VA 23230-3630 | 2020-04-15 |
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1104465459 | Jessica Elizabeth Melara | Behavior Technician | 3415 Waller Ave, Richmond, CA 94804-3269 | 2020-01-03 |
| Find all providers in RICHMOND | ||||
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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.