STEPHANIE RENEE GREEN (NPI# 1598305096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598305096 |
| Entity Type | Individual |
| Full Name | STEPHANIE RENEE GREEN |
| Practice Address |
6177 N Thesta St Ste 103 Fresno CA 93710-8600 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 5592750559 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983700 | Stephanie Lynn Green | Registered Nurse | 183 Marca Dr, Lucasville, OH 45648-9007 | 2020-05-11 |
| 1447766290 | Stephanie Rae Green | Speech-Language Pathologist | 401 N 30th St, Mount Vernon, IL 62864-2355 | 2017-12-15 |
| 1366895328 | Stephanie Green | Counselor | 554 N Main St Ste 104, South Boston, VA 24592-3283 | 2016-07-14 |
| 1275937443 | Stephanie Green | Speech-Language Pathologist | 525 Hawthorn Cir, Frederick, CO 80530-6009 | 2014-10-17 |
| 1205188224 | Stephanie Renee Green | Foster Care Agency | 1246 Sumner St, Jacksonville, NC 28540-3473 | 2012-10-15 |
| 1629334768 | Stephanie E Green | Licensed Practical Nurse | 175 Fernwood Ave, Syracuse, NY 13205-1438 | 2012-04-03 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1669665824 | Stephanie Anne Green | Pediatrics | 488 Vanderbilt Pkwy, Dix Hills, NY 11746-5853 | 2007-08-21 |
| 1770666505 | Stephanie D. Green | Speech-Language Pathologist | 7706 Abbotsinch Ct, Charlotte, NC 28269-0779 | 2006-10-23 |
| 1942383310 | Stephanie Karahalis Green | Internal Medicine | 45 Gerald Rd, Marblehead, MA 01945-2069 | 2006-10-21 |
| Street Address |
6177 N THESTA ST STE 103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609016369 | Heather J. Connelly | Counselor | 6177 N Thesta St Ste 103, Fresno, CA 93710 | 2009-02-20 |
| 1841899754 | Francisco Garcia | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-21 |
| 1992304802 | Jessica Gomez | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-21 |
| 1629677794 | Amanda Solis | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-20 |
| 1063010783 | Harneet Virk | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-14 |
| 1497353114 | Jessica Alfaro | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-14 |
| 1164020046 | Vanessa Veloz-nunez | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-13 |
| 1326645458 | Sabrina Brown | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-01 |
| 1265039432 | Leah Andrea Bresenio Quezada | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-01 |
| 1144827312 | Jennifer Sarai Calderon Diaz | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1568079622 | Thuan Lam | Behavior Technician | 3138 W Dakota Ave Spc 106, Fresno, CA 93722-4979 | 2020-09-23 |
| 1306450671 | Andrea Elise Calvillo-garcia | Behavior Technician | 4423 N Emerson Ave, Fresno, CA 93705-1204 | 2020-09-03 |
| 1467064774 | Bianca Silva | Behavior Technician | 4757 N Woodrow Ave Unit 117, Fresno, CA 93726-1725 | 2020-08-18 |
| 1669083358 | Victoria Marie Sanchez | Behavior Technician | 5755 W Mesa Ave, Fresno, CA 93722-3179 | 2020-08-14 |
| 1205454022 | Mya Renee Nazario | Behavior Technician | 8540 N Sierra Vista Ave, Fresno, CA 93720-3915 | 2020-07-08 |
| 1548886112 | Kassandra Yetiem Cordova Del Valle | Behavior Technician | 3520 E Kerckhoff Ave, Fresno, CA 93702-2710 | 2020-06-19 |
| 1649894593 | Jessica Ybarra | Behavior Technician | 2547 W Shaw Ave Ste 113, Fresno, CA 93711-3321 | 2020-06-05 |
| 1518592153 | Sarvenaz Pahlavan | Behavior Technician | 5168 N Blythe Ave Ste 103, Fresno, CA 93722-6478 | 2020-03-04 |
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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.