MR. JACK LE (NPI# 1740827989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740827989 |
| Entity Type | Individual |
| Full Name | MR. JACK LE |
| Practice Address |
701 W Kimberly Ave Ste 245 Placentia CA 92870-6345 |
| Mailing Address |
9901 William Dalton Way Garden Grove CA 92841-3843 |
| Practice Telephone | 7147802282 |
| Mailing Telephone | 7144689961 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| 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 |
701 W KIMBERLY AVE STE 245 |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-6345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648726 | Bryan Rodriguez | Behavioral Analyst | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2019-03-18 |
| 1427682095 | Jessica Rivera | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-02-23 |
| 1457983421 | Leslie Martinez | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-02-07 |
| 1619509684 | Tawney S Lee | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-02-07 |
| 1558992370 | Kathleen Thu Anh Nguyen | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-01-30 |
| 1609416809 | Alondra Espinoza | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-01-15 |
| 1124665385 | Daisy Patricia Padilla | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2019-12-06 |
| 1376188789 | Daoyuan Fan | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2019-11-08 |
| 1629611306 | Angelica Macedonio | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2019-10-24 |
| 1649813965 | Michelle Chavez | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| 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 |
|---|---|---|---|---|
| 1861032625 | Jessica Valdez | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-01-09 |
| 1649818444 | Brianna Hiromi Lees | Behavior Technician | 826 Nebraska Ave, Placentia, CA 92870-6903 | 2019-12-12 |
| 1275188476 | Stephanie Padilla | Behavior Technician | 501 Ramona St, Placentia, CA 92870-5700 | 2019-08-05 |
| 1649822131 | Jessie Gabriel Cerda | Behavior Technician | 525 Melody Ln, Placentia, CA 92870-4908 | 2019-07-15 |
| 1396352068 | Marisela Barriga | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-09-28 |
| 1104433960 | Logan Montana Schneider | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-09-25 |
| 1477169514 | Alondra Marie Ayala | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-09-22 |
| 1700412459 | Marco A Portillo Jr. | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-03-13 |
| 1275169922 | Anna Qutami | Behavior Technician | 701 W Kimberly Ave Ste 125, Placentia, CA 92870-6346 | 2020-03-13 |
| 1427682095 | Jessica Rivera | Behavior Technician | 701 W Kimberly Ave Ste 245, Placentia, CA 92870-6345 | 2020-02-23 |
| Find all providers in PLACENTIA | ||||
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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.