JERESLY GUADALUPE VAZQUEZ


Address: 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554
Phone: 7148341111

JERESLY GUADALUPE VAZQUEZ (NPI# 1649870072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649870072
Entity Type Individual
Full Name JERESLY GUADALUPE VAZQUEZ
Practice Address 1063 Mcgaw Ave Ste 100
Irvine
CA 92614-5554
Mailing Address 16011 Legacy Rd Unit 213
Tustin
CA 92782-2817
Practice Telephone 7148341111
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 1063 MCGAW AVE STE 100
City IRVINE
State CA
Zip Code 92614-5554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437604071 Shaji Haq Behavioral Analyst 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2016-08-24
1679174494 Edward Duc Le Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-11-06
1275133878 Jennifer Lynne Mcgee Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-11-01
1710587423 Giselle Romero Perez Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-30
1083214944 Rebecca Li Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-29
1073113189 James Mateo Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-28
1295335610 Taryn Lee Magdaleno Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-26
1962001594 Danielle Elaine Armas Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-24
1023617644 Ashley Mccausland Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-23
1104425701 Mary Oliverio Behavior Technician 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 2020-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396352944 Irvine Surgical Center LLC Clinic/Center 17624 Redhill Ave Ste B, Irvine, CA 92614 2020-09-28
1245843572 Jose Raul Sanchez IIi Behavior Technician 1063 Mcgraw Ave, Irvine, CA 92614 2020-08-26
1548871064 Angelina Renee Armenta Behavior Technician 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 2020-08-10
1083267827 Jd Health LLC Durable Medical Equipment & Medical Supplies 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 2019-07-22
1326609280 Abigail Briana Lozano-flores Behavior Technician 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 2019-06-21
1770085235 Heather M. Ayala Dietitian, Registered 17985 Sky Park Circle Suite A, Irvine, CA 92614 2018-03-01
1598266033 Camille Plumbar Chiropractor 17811 Skypark Circle, Suite E, Irvine, CA 92614 2018-02-21
1952812448 Mary M Ahmadian Nurse Practitioner Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 2017-10-24
1134656804 Reza Abaei Tafreshi Dentist 3 Pazzi, Irvine, CA 92614 2017-05-12
1467991307 Laboratory Medicine Consultants In Diagnostics Medical Genetics 1565 A Mcgaw Ave, Irvine, CA 92614 2017-02-13
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003427204 Janki Merai Behavioral Analyst 51 Dorado, Irvine, CA 92618-1318 2020-08-11
1326609918 Jessica Ann Marines Behavioral Analyst 5200 Bonita Canyon Dr, Irvine, CA 92603-0165 2019-06-24
1881254035 Kassandra De Jesus Aguilar Behavioral Analyst 562 Saint Vincent, Irvine, CA 92618-3933 2019-06-19
1851957476 Brandon Reeder Behavioral Analyst 18008 Sky Park Cir Ste 100, Irvine, CA 92614-6434 2019-05-20
1083277172 Reece Arthur Behavioral Analyst 16782 Von Karman Ave Ste 21, Irvine, CA 92606-2418 2019-04-15
1962976118 Cameron Tyler Fateri Behavioral Analyst 47 Golden Eagle, Irvine, CA 92603-0308 2019-01-21
1326512575 Paula Andrea Echeverry Sandoval Behavioral Analyst 93 Stepping Stone, Irvine, CA 92603-4207 2019-01-21
1053884049 Darlene Varciag Behavioral Analyst 44 Kazan St, Irvine, CA 92604-2456 2019-01-02
1669956074 Behavioral Education Skill Treatment Center Behavioral Analyst 17802 Sky Park Cir Ste 105, Irvine, CA 92614-6405 2018-09-20
1568948479 Andrea M Jackson Behavioral Analyst 2091 Business Center Dr Ste 150, Irvine, CA 92612-1167 2018-07-13
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Competitor

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City IRVINE
Zip Code 92614

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Dataset Information

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.

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