DAVID DICKEY (NPI# 1720584733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720584733 |
| Entity Type | Individual |
| Full Name | DAVID DICKEY |
| Practice Address |
17070 Walnut Village Pkwy Ste K Fontana CA 92336-3285 |
| Mailing Address |
12179 Leif Ericson Dr Moreno Valley CA 92557-7724 |
| Practice Telephone | 9093208300 |
| Mailing Telephone | 9515674657 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
| 1649215633 | David R Dickey | Dentist | 120 1/2 Main St, Camden, MI 49232 | 2006-06-17 |
| 1619240322 | David Dickey | Physical Therapist | 12124 High Tech Ave, Suite 300, Orlando, FL 32817-8373 | 2012-02-13 |
| 1790912715 | David Grayson Dickey | Dentist | 329 Bryant St, Suite 2f, San Francisco, CA 94107-1477 | 2009-06-17 |
| 1174735211 | David A. Dickey | Dentist | 916 S Main St, New Castle, IN 47362-2821 | 2007-05-03 |
| 1720120587 | David Dickey | Clinical Neuropsychologist | 1050 W Perimeter Rd, Life Skills - Mgmc, Andrews Afb, MD 20762-6601 | 2007-02-12 |
| 1689724437 | David Alan Dickey | Nurse Practitioner | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-12 |
| 1588763684 | David L Dickey | Chiropractor | 4500 Stuart St, Moncrief Army Community Hospital, Columbia, SC 29207-5700 | 2006-09-22 |
| 1508835562 | David Dickey | Internal Medicine | 1818 121st St Se, Everett, WA 98208-5985 | 2006-03-14 |
| Street Address |
17070 WALNUT VILLAGE PKWY STE K |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-3285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821599762 | Omarina Perkins | Behavior Technician | 17070 Walnut Village Pkwy Ste K, Fontana, CA 92336-3285 | 2018-02-26 |
| 1205316882 | Tarell D Honore | Assisted Living Facility | 17070 Walnut Village Pkwy Ste K, Fontana, CA 92336-3285 | 2018-08-14 |
| 1497250617 | Stephanne Noemmy Barba | Behavior Technician | 17070 Walnut Village Pkwy Ste K, Fontana, CA 92336-3285 | 2018-03-28 |
| 1073018206 | Leilani Bowers | Behavioral Analyst | 17070 Walnut Village Pkwy Ste K, Fontana, CA 92336-3285 | 2018-03-28 |
| 1043713720 | Alicia Salazar | Behavioral Analyst | 17070 Walnut Village Pkwy Ste K, Fontana, CA 92336-3285 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1174149454 | Jennifer Nathalie Sandoval-guzman | Behavior Technician | 7490 Concord Ave, Fontana, CA 92336-1707 | 2020-06-22 |
| 1235761172 | Legend Holman | Behavior Technician | 17750 Fairview Dr, Fontana, CA 92336-2864 | 2020-02-09 |
| 1073143277 | Danielle Deguzman | Behavior Technician | 13675 Alexander Ct, Fontana, CA 92336-3902 | 2020-01-16 |
| 1306481486 | Cynthia Duran | Behavior Technician | 17095 Hackberry Ln, Fontana, CA 92337-6885 | 2019-11-12 |
| 1932744331 | Annie Lysaris Bustamante | Behavior Technician | 9027 Ferndale Ave, Fontana, CA 92335-6017 | 2019-11-10 |
| 1528603156 | Kathia Banda | Behavior Technician | 11519 Oak Knoll Ct, Fontana, CA 92337-0138 | 2019-11-07 |
| 1104460013 | Aryana Natalie Cruz | Behavior Technician | 7802 Wasabi Way, Fontana, CA 92336-3122 | 2019-11-04 |
| 1235786120 | Briana Korinna Calderon | Behavior Technician | 11618 Belmonte Rd, Fontana, CA 92337-0908 | 2019-08-24 |
| 1194370726 | Johnny Murcia | Behavior Technician | 14222 Rideout Ct, Fontana, CA 92336-3605 | 2019-08-09 |
| 1376196352 | Kimberly June Hoekwater | Behavior Technician | 16340 Trelaney Rd, Fontana, CA 92337-0807 | 2019-07-19 |
| Find all providers in FONTANA | ||||
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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.