COURTNEY ANN HENDERSON (NPI# 1609415769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609415769 |
| Entity Type | Individual |
| Full Name | COURTNEY ANN HENDERSON |
| Practice Address |
264 Landis Ave Ste 200 Chula Vista CA 91910-2651 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 6199776851 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| 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 |
|---|---|---|---|---|
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1538573951 | Courtney Lauren Henderson | Occupational Therapist | 60 Livingston St Ste 400, Asheville, NC 28801-4400 | 2014-06-13 |
| 1497107486 | Courtney D Henderson | Counselor | 2414 Ferrand St, Ste. 1, Monroe, LA 71201 | 2016-07-01 |
| 1114314424 | Courtney Henderson | Nurse Anesthetist, Certified Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2015-04-24 |
| 1497158596 | Courtney N Henderson | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2014-10-02 |
| 1073678355 | Courtney Lynette Henderson | General Practice | 943 Hualapai Way, Peach Springs, AZ 86434 | 2006-12-27 |
| 1992724967 | Courtney Moore Henderson | Nurse Practitioner | 201 N Hamilton St, Richmond, VA 23221-2601 | 2006-07-19 |
| Street Address |
264 LANDIS AVE STE 200 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003150509 | Kristin Lundbohm | Behavioral Analyst | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2012-11-21 |
| 1154921419 | Carla Mae Ignacio Bisquerra | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-27 |
| 1063011625 | Katherine Curry | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-23 |
| 1629676051 | Venica Dael | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-16 |
| 1184222069 | Darlene Mendoza | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-13 |
| 1629675178 | Krismay Morena | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-07 |
| 1568069011 | Claudia Alcaraz | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-07 |
| 1043817182 | Alfonso Aguilar Benitez | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-01 |
| 1972100154 | Roberto Anthony Camacho | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-10-01 |
| 1043826514 | Alexandria Vincej | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| 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 |
|---|---|---|---|---|
| 1659982841 | Caitlin Crook | Behavior Technician | 851 Bowsprit Rd, Chula Vista, CA 91914-4529 | 2020-08-12 |
| 1255894861 | Miguel Angel Lopez | Behavior Technician | 544 Woodlawn Ave, Chula Vista, CA 91910-5125 | 2019-04-10 |
| 1902368897 | Jose M Gutierrez | Behavior Technician | 1668 Crossroads St, Chula Vista, CA 91915-1837 | 2019-04-01 |
| 1174000665 | Julia Nixon | Behavior Technician | 1070 Del Mar Ave Apt D, Chula Vista, CA 91911-2143 | 2018-07-26 |
| 1669967733 | Claudia Stephanie Vuelvas | Behavior Technician | 1715 Orion Ave Apt 410, Chula Vista, CA 91915-2706 | 2018-06-29 |
| 1790288660 | Maria Millena | Behavior Technician | 264 Landis Ave Ste 100, Chula Vista, CA 91910-2627 | 2018-03-16 |
| 1548769169 | November Luna Soliz | Behavior Technician | 891 Kuhn Dr Ste 100, Chula Vista, CA 91914-3551 | 2018-02-09 |
| 1356859219 | Jon Rivas | Behavior Technician | 1556 San Pedro Point Ct, Chula Vista, CA 91911-6153 | 2018-01-12 |
| 1629585096 | Sierra Angelique Paul | Behavior Technician | 1346 Nicolette Ave, Chula Vista, CA 91913-3978 | 2018-01-06 |
| 1639685670 | Jamie Nicole Nixon | Behavior Technician | 633 E Naples St, Chula Vista, CA 91911-6837 | 2017-12-27 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.