DOMINIC ROBERT JOHNSON (NPI# 1720696453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720696453 |
| Entity Type | Individual |
| Full Name | DOMINIC ROBERT JOHNSON |
| Practice Address |
1001 Sneath Ln Ste 200 San Bruno CA 94066-2349 |
| Mailing Address |
328 19th Ave San Francisco CA 94121-2305 |
| Practice Telephone | 6502439849 |
| Mailing Telephone | 2097562736 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858302 | Dominic C Johnson | Nurse's Aide | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2019-02-20 |
| 1104393149 | Dominic Idris Johnson | Behavioral Analyst | 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237 | 2018-10-29 |
| 1720308851 | Dominic Johnson | Internal Medicine | 877 W Faris Rd Ste B, Greenville, SC 29605 | 2010-06-11 |
| 1952314353 | Dominic A Johnson | Emergency Medicine | 736 Battlefield Blvd N, Chesapeake General Hospital, Chesapeake, VA 23320-4941 | 2006-08-15 |
| Street Address |
1001 SNEATH LN STE 200 |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431120 | Michael C Glafkides | Plastic Surgery | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2006-08-30 |
| 1972103315 | Julie B Alsibai | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-10-26 |
| 1497361877 | Amapola Garcia-gomez | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-09-21 |
| 1902411135 | Alexandra Andrea Kuzmin | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-09-14 |
| 1043823016 | Hezekiah Izreal Ramirez | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-28 |
| 1013520378 | James Valencia | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-26 |
| 1932711231 | Elizabeth Sword | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-18 |
| 1922619121 | Sean Peterson | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-11 |
| 1871103853 | Yanubi Elizabeth Aguayo | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-08-05 |
| 1013525658 | Giselle Theodora Sardjono | Behavior Technician | 1001 Sneath Ln Ste 200, San Bruno, CA 94066-2349 | 2020-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
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| 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 |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1831752930 | Nicholas Eugene Putkey | Behavior Technician | 1940 Willow Way, San Bruno, CA 94066-1822 | 2019-04-16 |
| 1851852313 | Julia Rae Garcia | Behavior Technician | 1001 Sneath Ln Ste 20, San Bruno, CA 94066-2308 | 2019-03-27 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1548738669 | Pramila Kumar | Behavior Technician | 751 Camino Plz Ste 8, San Bruno, CA 94066-3401 | 2018-11-06 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1245729896 | Katrina Marie Pico-villaluna | Behavior Technician | 868 7th Ave, San Bruno, CA 94066-3227 | 2018-05-08 |
| 1144726001 | Diana Willits Evans | Behavior Technician | 751 Camino Plz # A, San Bruno, CA 94066-3401 | 2018-03-31 |
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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.