ELISA BETTENCOURT (NPI# 1609475300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609475300 |
| Entity Type | Individual |
| Full Name | ELISA BETTENCOURT |
| Practice Address |
9355 E Stockton Blvd Ste 100 Elk Grove CA 95624-9476 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 9166831109 |
| Practice Fax Number | 9166831140 |
| Mailing Telephone | 2095722589 |
| Mailing Fax Number | 2093533353 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
9355 E STOCKTON BLVD STE 100 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1780285718 | Mia Simon | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-11-05 |
| 1154922276 | Christian Luis | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-11-04 |
| 1225638901 | Kevin Sok | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-10-30 |
| 1922606615 | Abigayle Stinson | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-10-14 |
| 1225636079 | Destinee Bowie | Assistant Behavior Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-10-14 |
| 1588262356 | Irene Yee | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-10-14 |
| 1518573724 | Diana Domingo | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-09-22 |
| 1063027100 | Daisy Curry | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-09-15 |
| 1184239295 | Stephanie Martinez Navarro | Assistant Behavior Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| 1528476512 | Christine Robin Heredia | Counselor | 8920 Emerald Park Dr. Suit A, Elk Grove, CA 95624 | 2014-07-23 |
| Find all providers in zip 95624 | ||||
| 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 |
|---|---|---|---|---|
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1336748029 | Abbie Villani | Behavior Technician | 9370 W Stockton Blvd Ste 6, Elk Grove, CA 95758-8013 | 2020-10-22 |
| 1154931004 | Amanda Arizmendi | Behavior Technician | 8612 Elk Ridge Way, Elk Grove, CA 95624-2244 | 2020-08-05 |
| 1528676384 | Job Michael Devera Joves | Behavior Technician | 9765 Waterfowl Dr, Elk Grove, CA 95757-8128 | 2020-07-17 |
| 1669091542 | Megan N Tate | Behavior Technician | 6627 Romanzo Way, Elk Grove, CA 95758-5814 | 2020-04-10 |
| 1427685494 | Concepcion Antunez Betancourt | Behavior Technician | 2230 Longport Ct Ste 130, Elk Grove, CA 95758-7182 | 2020-03-26 |
| 1790317642 | Lilliana Minelle Sargent | Behavior Technician | 2230 Longport Ct, Elk Grove, CA 95758-7182 | 2020-02-09 |
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1225688120 | Kevin Rai | Behavior Technician | 8598 Windsor Point Way, Elk Grove, CA 95624-3461 | 2019-09-13 |
| Find all providers in ELK GROVE | ||||
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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.