JENNIFER LOUISE MATLOCK (NPI# 1740750959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740750959 |
| Entity Type | Individual |
| Full Name | JENNIFER LOUISE MATLOCK |
| Practice Address |
1335 Magnolia St Oakdale CA 95361-2838 |
| Practice Telephone | 2096097841 |
| Mailing Telephone | 2096097841 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-39519 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629308259 | Jennifer Matlock | Counselor | 3535 Nw 58th St, Suite 870e, Oklahoma City, OK 73112-4804 | 2010-01-04 |
| Street Address |
1335 MAGNOLIA ST |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154565513 | Steve Taylor | Behavioral Analyst | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2009-04-28 |
| 1023589801 | Kalindi Caroline Botto | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-05 |
| 1710457700 | Michelle Suzanne Yandell Escamilla | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-03 |
| 1346710365 | Ryan Pal | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-03 |
| 1306316435 | Katherine Sarah Catlett | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-02 |
| 1720558851 | Laura Marie Khan- Dobson | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-02 |
| 1558831685 | Patricia Costa | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-02 |
| 1467922500 | Jennifer Anne Garcia | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-02 |
| 1356811491 | Fidji Ramos Salcedo | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-02 |
| 1922599570 | Taylor Behavior Therapy, LLC | Behavioral Analyst | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
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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 |
|---|---|---|---|---|
| 1811596679 | Ikran Mohamed Warsame | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-22 |
| 1386243236 | Danielle Dalen | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-21 |
| 1972102093 | Grace Mason | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-20 |
| 1912505744 | David Grano | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-14 |
| 1013514645 | Katlyn Ziemann | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-06 |
| 1194322818 | Emmett Mark Curtis Dziuk | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-06 |
| 1659978823 | Emily Lenai Jensen | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-10-01 |
| 1801403423 | Margaret Hope Breuer | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-28 |
| 1588278857 | Melanie Julie Dinca | Behavior Technician | 434 Hayward Ave N, Oakdale, MN 55128-5379 | 2020-09-03 |
| 1023589801 | Kalindi Caroline Botto | Behavior Technician | 1335 Magnolia St, Oakdale, CA 95361-2838 | 2018-12-05 |
| Find all providers in OAKDALE | ||||
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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.