STAROAKS BEHAVIORAL HOME (NPI# 1710438460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710438460 |
| Entity Type | Organization |
| Organization Name | STAROAKS BEHAVIORAL HOME |
| Practice Address |
2016 E Rockwood Dr Phoenix AZ 85024-3076 |
| Practice Telephone | 7139096953 |
| Mailing Telephone | 7139096953 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | AUGUSTINA OMOGHENE ITIMI (ADMINISTRATOR) |
| Authorized Official Telephone | 7139096953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | BH4920 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285284539 | Staroaks Behavioral Home | Community Based Residential Treatment Facility, Mental Illness | 1112 E Irma Ln, Phoenix, AZ 85024-4118 | 2019-09-18 |
| 1023506300 | Staroaks Behavioral Home | Assisted Living Facility | 17644 N 17th St, Phoenix, AZ 85022-2113 | 2018-04-23 |
| Street Address |
2016 E ROCKWOOD DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85024-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710356209 | Augustina Omoghene Itimi | Counselor | 2016 E Rockwood Dr, Phoenix, AZ 85024-3076 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701960 | Milena Jovanovic | Assisted Living Facility | 20652 N. 16th Way, Phoenix, AZ 85024 | 2017-06-28 |
| 1326592825 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 86, Phoenix, AZ 85024 | 2016-08-12 |
| 1174926034 | Audrey Gale | Physician Assistant | 19401 N Cave Creek Rd Ste 18, Phoenix, AZ 85024 | 2014-10-06 |
| 1760891972 | Automotive Personnel Network LLC | Case Management | 20827 N Cave Creek Road, Suite103, Phoenix, AZ 85024 | 2014-08-13 |
| 1437571551 | Topical Solutions Pharmacy | Pharmacy | 20622 N Cave Creek Rd Ste C-121, Phoenix, AZ 85024 | 2014-01-08 |
| 1720319494 | Brooke Joanne Adams | Pharmacist | 20441 N 10th St, Phoenix, AZ 85024 | 2010-01-20 |
| 1558596437 | Accurate Care Chiropractic & Acupuncture PC | Chiropractor | 20235 N Cave Creek Road, Suite 110, Phoenix, AZ 85024 | 2009-05-21 |
| 1144348111 | Adam's House Inc | Home Health | 20625 N 8th St, Phoenix, AZ 85024 | 2007-03-27 |
| 1518085828 | Marisa Rubio Ellis | Dentist | 822 East Union Hills Dr, Ste D6, Phoenix, AZ 85024 | 2007-03-26 |
| 1891888483 | Lc Global Company Incorporated | Durable Medical Equipment & Medical Supplies | 20021 N. Cavecreek Rd, Unit#7, Phoenix, AZ 85024 | 2006-10-02 |
| Find all providers in zip 85024 | ||||
| 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 |
|---|---|---|---|---|
| 1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1023629235 | Empowerment Family Care Inc | Behavior Technician | 6918 S 37th Dr, Phoenix, AZ 85041-6160 | 2020-08-11 |
| 1134744360 | A Path To A New World LLC | Behavior Technician | 11242 N 19th Ave Ste 24, Phoenix, AZ 85029-4857 | 2020-06-12 |
| 1073136719 | Closel Defonse | Behavior Technician | 7812 W Wood Ln, Phoenix, AZ 85043-1426 | 2020-05-28 |
| 1083236723 | True Hand Behavioral Agency | Behavior Technician | 7631 W Globe Ave, Phoenix, AZ 85043-1679 | 2020-05-16 |
| 1225662562 | Vanessa Riviera Delgado | Behavior Technician | 16431 N 33rd Dr, Phoenix, AZ 85053-2902 | 2020-02-25 |
| 1285273789 | Sandy Salcido | Behavior Technician | 4710 North 108th Ave, Phoenix, AZ 85037-5472 | 2019-12-31 |
| 1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
| 1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
| Find all providers in PHOENIX | ||||
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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.