JEANETT GUADALUPE DE LA MORA


Address: 1440 Empire St, Fairfield, CA 94533-4722
Phone: 7076069947

JEANETT GUADALUPE DE LA MORA (NPI# 1669008512) 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) 1669008512
Entity Type Individual
Full Name JEANETT GUADALUPE DE LA MORA
Practice Address 1440 Empire St
Fairfield
CA 94533-4722
Practice Telephone 7076069947
Mailing Telephone 7076069947
Enumeration Date 2020-03-22
Last Update Date 2020-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 1440 EMPIRE ST
City FAIRFIELD
State CA
Zip Code 94533-4722

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
Find all providers in zip 94533

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316551997 Melissa Fitzgerald Behavior Technician 1184 Ironwood Ct, Fairfield, CA 94533-7729 2020-09-01
1285268003 Giovanna Lee Gonzalez-pedraza Behavior Technician 561 Americano Way, Fairfield, CA 94533-7214 2020-03-02
1770137168 Anita Nichole Cook Behavior Technician 36 Villa Ct, Fairfield, CA 94533-2527 2019-07-24
1710549696 Kailee Lynn Wilder Behavior Technician 744 Empire St Ste 102, Fairfield, CA 94533-5562 2019-07-01
1700445897 Mariah Annastesia Garrick Behavior Technician 2452 Skyview Cir, Fairfield, CA 94534-8626 2019-06-12
1427519222 Luis Velazquez Behavior Technician 801 Jefferson St Ste 3&45&6, Fairfield, CA 94533-5557 2019-03-26
1881164952 Marilyn Platero Behavior Technician 2581 Vista Grande, Fairfield, CA 94534-1771 2018-11-30
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1558831263 Catalina Correa Behavior Technician 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 2018-11-26
1285119578 Therese Evangelina Gallegos Behavior Technician 1400 Hawaii St, Fairfield, CA 94533-4732 2018-10-02
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 94533

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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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