JACK BAUTISTA (NPI# 1669026753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
1149 A ST |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-4113 |
| 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 | ||||
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.