JISELLE DE ANDA (NPI# 1730794728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730794728 |
| Entity Type | Individual |
| Full Name | JISELLE DE ANDA |
| Practice Address |
662 Encinitas Blvd Ste 208 Encinitas CA 92024-6789 |
| Mailing Address |
910 Normandy Rd Encinitas CA 92024-1811 |
| Practice Telephone | 7606341125 |
| Mailing Telephone | 8583345963 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
662 ENCINITAS BLVD STE 208 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-6789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164786943 | Coyne & Associates Education Corp | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2012-06-27 |
| 1225645476 | Kelleen Amaro | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-30 |
| 1154937381 | Juliana Marie Wambach | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-22 |
| 1952919730 | Elaina Suzanne Clougherty | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-07-17 |
| 1538795034 | Krystal Wanida Chinothai | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-03-16 |
| 1992337133 | Valerie Salgado | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-02-05 |
| 1740823111 | Alyssa Fernandez | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-17 |
| 1568003234 | Alexandra Kruip | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-03 |
| 1811552516 | Ileana Marie Burleson | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-05-08 |
| 1578127486 | Rachael Marie Ramirez | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| 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 |
|---|---|---|---|---|
| 1225645476 | Kelleen Amaro | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-30 |
| 1154937381 | Juliana Marie Wambach | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-22 |
| 1760097356 | Ashley Domingo | Behavior Technician | 662 Encinitas Blvd, Encinitas, CA 92024-6788 | 2020-09-10 |
| 1952919730 | Elaina Suzanne Clougherty | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-07-17 |
| 1538795034 | Krystal Wanida Chinothai | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-03-16 |
| 1992337133 | Valerie Salgado | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-02-05 |
| 1740823111 | Alyssa Fernandez | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-17 |
| 1568003234 | Alexandra Kruip | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-03 |
| 1699335752 | Adolfo A Bojorquez | Behavior Technician | 662 Encinitas Blvd, Encinitas, CA 92024-6788 | 2019-06-19 |
| 1811552516 | Ileana Marie Burleson | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-05-08 |
| Find all providers in ENCINITAS | ||||
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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.