JACK BAUTISTA


Address: 1149 A St, Hayward, CA 94541-4113
Phone: 5109012050

JACK BAUTISTA (NPI# 1669026753) 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) 1669026753
Entity Type Individual
Full Name JACK BAUTISTA
Practice Address 1149 A St
Hayward
CA 94541-4113
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 5109012050
Mailing Telephone 8183452345
Enumeration Date 2019-07-28
Last Update Date 2019-07-28
Gender Code M
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 1149 A ST
City HAYWARD
State CA
Zip Code 94541-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700283355 Logan Rice Behavioral Analyst 1149 A St, Hayward, CA 94541-4113 2014-11-25
1730780735 Antonio Delgado Behavior Technician 1149 A St, Hayward, CA 94541-4113 2020-11-05
1558992909 Shauna Elizabeth Turner Behavior Technician 1149 A St, Hayward, CA 94541-4113 2020-02-03
1508409111 Regina Christine Taerese Williams Behavioral Analyst 1149 A St, Hayward, CA 94541-4113 2019-10-26
1184274243 Chelsea T Sampson Behavior Technician 1149 A St, Hayward, CA 94541-4113 2019-09-19
1184273187 Jasiri Dejahn Gibson Behavioral Analyst 1149 A St, Hayward, CA 94541-4113 2019-09-11
1306494562 Karina Salinas Behavioral Analyst 1149 A St, Hayward, CA 94541-4113 2019-08-30
1942856422 Asta Saulis Behavior Technician 1149 A St, Hayward, CA 94541-4113 2019-08-12
1487208211 Alvino Rivera - Mancilla Behavioral Analyst 1149 A St, Hayward, CA 94541-4113 2019-07-30
1871146183 Lucia Ortiz Behavior Technician 1149 A St, Hayward, CA 94541-4113 2019-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184264442 Shraddha P Kalgutkar Occupational Therapist Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 2020-01-14
1770068215 Kiran Prasad Behavior Technician 1151 A Street, Hayward, Hayward, CA 94541 2018-10-01
1053813287 Sarra Elizabeth Marin Behavior Technician 19261 Medford Ct, Hayward, CA 94541 2018-03-03
1679073803 Mark Basta Optometrist 1237 B St., Hayward, CA 94541 2018-02-14
1417478389 James Steven Quinn Counselor 590 B Street, Hayward, CA 94541 2017-06-30
1689103020 Natalie Limm Psychologist 25099 Oakridge Court, Hayward, CA 94541 2017-06-08
1760911739 David Patrick Mcguinness Counselor 490 B Street, Hayward, CA 94541 2017-06-05
1891235859 Alzheimer's Services of The East Bay, Incorporated Clinic/Center 1105 Walpert Street, Hayward, CA 94541 2017-02-24
1013463629 Diana Consuelo Rais Social Worker 1065 A. Street, Hayward, CA 94541 2016-09-01
1417303934 Maria Hernandez Social Worker 22211 Foothill Blvd., Hayward, CA 94541 2016-05-13
Find all providers in zip 94541

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
1407453038 Carolyn Eusebio Behavior Technician 25006 Lucien Way, Hayward, CA 94544-1911 2020-10-06
1578179834 Erica Ramirez Behavior Technician 21973 Princeton St, Hayward, CA 94541-3812 2020-09-21
1790301620 Newman Vila Behavior Technician 2955 Blanding Ct, Hayward, CA 94541-3418 2020-06-16
1427671155 Thomas Tai Nguyen Behavior Technician 24623 Soto Rd Bldg 2, Hayward, CA 94544-1927 2020-05-28
1811516198 Malisa Martinez Behavior Technician 27625 Havana Ave Apt Suite, Hayward, CA 94544-5005 2020-04-16
1841826351 Nittia Henry Behavior Technician 537 Evelyn Ln, Hayward, CA 94544-2303 2020-03-16
1518599315 Vishal Raj Behavior Technician 2769 Cook Pl, Hayward, CA 94545-3309 2020-02-10
1326678673 Teresa M Esparza Behavior Technician 21539 Westpark St Apt 2, Hayward, CA 94541-5810 2020-01-24
1316585748 Ashley Angelica Flores Behavior Technician 25200 Carlos Bee Blvd Apt 294, Hayward, CA 94542-1507 2019-12-16
1285271973 Haley Nicole Miller Behavior Technician 1180 B Street, Hayward Ca 94541, Hayward, CA 94541-9454 2019-12-02
Find all providers in HAYWARD

Competitor

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City HAYWARD
Zip Code 94541

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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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