CORY CARRILLO (NPI# 1699281675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699281675 |
| Entity Type | Individual |
| Full Name | CORY CARRILLO |
| Credential | RBT |
| Practice Address |
4880 Market St Ventura CA 93003-7783 |
| Practice Telephone | 8058261980 |
| Practice Fax Number | 8056501385 |
| Mailing Telephone | 8058261980 |
| Mailing Fax Number | 8056501385 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| 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 |
4880 MARKET ST |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-7783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124147426 | Kristina Lynn Moes | Social Worker | 4880 Market St, Ventura, CA 93003-7783 | 2007-03-28 |
| 1245873769 | Era Psychological Services, Inc | Psychologist | 4880 Market St, Ventura, CA 93003 | 2019-10-28 |
| 1861045882 | Stephanie Lovos-bonilla | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2019-07-18 |
| 1629631890 | Bailey L Mccutcheon | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2019-04-15 |
| 1043773328 | Sonia V Farias | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2019-04-12 |
| 1962984427 | Elizabeth Pena | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-08-31 |
| 1962984419 | Christelle Gonzales | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-08-31 |
| 1700368263 | Frances Mcnamara | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-08-31 |
| 1598260622 | Elizabeth Rothenhoefer | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-03-29 |
| 1851896989 | Salena Labat | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| 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 |
|---|---|---|---|---|
| 1497371181 | Alexander Garrison Beamer | Behavior Technician | 57 University Ave, Ventura, CA 93003-3841 | 2020-06-18 |
| 1720601958 | Stephanie Janda | Behavior Technician | 9607 Oneida St, Ventura, CA 93004-2707 | 2020-05-21 |
| 1972136133 | Nicholas Joseph Lenicka | Behavior Technician | 750 Walcott Ave, Ventura, CA 93003-0421 | 2020-02-17 |
| 1104468321 | Laura Castro-barreto | Behavior Technician | 8383 Eureka St, Ventura, CA 93004-2146 | 2019-10-09 |
| 1083263271 | Jacqueline Quitadamo | Behavior Technician | 10795 Acacia Ln, Ventura, CA 93004-1811 | 2019-09-10 |
| 1063070662 | Brianna E Hines | Behavior Technician | 5881 Albion Ave, Ventura, CA 93003-2318 | 2019-05-30 |
| 1023570769 | Ashleigh Besamat | Behavior Technician | 10997 Del Norte St Apt 110, Ventura, CA 93004-1077 | 2019-04-02 |
| 1255839007 | Tejal Swami | Behavior Technician | 35 W Main St Ste B395, Ventura, CA 93001-2507 | 2018-01-26 |
| 1760980650 | Dalymar Maldonado Rios | Behavior Technician | 2437 Grand Ave Ste Bcd, Ventura, CA 93003-6620 | 2018-01-25 |
| 1730608902 | Sarah Stevens | Behavior Technician | 1251 San Simeon Ct Unit 5, Ventura, CA 93003-6031 | 2017-09-19 |
| Find all providers in VENTURA | ||||
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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.