EMERY BRAUTIGAN (NPI# 1649827270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649827270 |
| Entity Type | Individual |
| Full Name | EMERY BRAUTIGAN |
| Practice Address |
4950 San Bernardino St Montclair CA 91763-2328 |
| Mailing Address |
1301 E Orangewood Ave Anaheim CA 92805-6807 |
| Practice Telephone | 8002491266 |
| Mailing Telephone | 8002491266 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| 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 |
4950 SAN BERNARDINO ST |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620443 | William Tsai | Family Medicine | 4950 San Bernardino St, #218, Montclair, CA 91763-2328 | 2005-09-23 |
| 1326648239 | Anthony Ramirez | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2020-10-29 |
| 1629626486 | Tahitia Randolph | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-08-26 |
| 1366099038 | Evelyn Landa | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-08-19 |
| 1689132888 | Jessica Franco-casillas | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2019-03-06 |
| 1538631627 | Alexandrea Pablo | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-12-30 |
| 1598235970 | Alysha Mays | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| 1376013755 | Stephanie Zavala | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| 1457821837 | Stacie Forrest | Behavior Technician | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-28 |
| 1366910929 | Shanta Dorsey | Behavioral Analyst | 4950 San Bernardino St, Montclair, CA 91763-2328 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| 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 |
|---|---|---|---|---|
| 1255970943 | Jessica Santos Reyes | Behavior Technician | 4361 Mission Blvd Spc 180, Montclair, CA 91763-6065 | 2019-12-30 |
| 1649831728 | Natalija Tesla | Behavior Technician | 9 Carlton Dr, Montclair, NJ 07043-2603 | 2019-06-27 |
| 1407412380 | Regina Lorraine Lopez | Behavior Technician | 10319 Mills Ave Apt 307, Montclair, CA 91763-4092 | 2019-05-15 |
| 1013475763 | Yesenia Noriega Garcia | Behavior Technician | 9612 Helena Ave, Montclair, CA 91763-2210 | 2019-03-12 |
| 1134698897 | Joanne Onque Mcghee | Behavior Technician | 9 High Street #n2, Montclair, NJ 07042-2450 | 2018-11-23 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1780285536 | Kevin Luna | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1912508763 | Erin Kline | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1760083513 | Stephanie Topete | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| 1306447164 | Vartkes Chakmakchyan | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2020-11-06 |
| Find all providers in MONTCLAIR | ||||
Please comment or provide details below to improve the information on EMERY BRAUTIGAN.
| 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.