JEANINE AVILA (NPI# 1750821633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750821633 |
| Entity Type | Individual |
| Full Name | JEANINE AVILA |
| Other Name | JEANINE VILLANUEVA |
| Practice Address |
2511 Trimmier Rd Suite 140 Killeen TX 76542-1908 |
| Mailing Address |
117 Lone Shadow Dr Harker Heights TX 76548-2523 |
| Practice Telephone | 8662732451 |
| Mailing Telephone | 8085851560 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | H01330250 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE PRIME | 1396198459 | 01 |
| Street Address |
2511 TRIMMIER RD SUITE 140 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705166 | Dean M Logue | Dentist | 2511 Trimmier Rd, Suite 170, Killeen, TX 76542-1908 | 2007-01-16 |
| 1316483340 | Ly Tran | Pharmacist | 2511 Trimmier Rd, Killeen, TX 76542-1908 | 2017-01-14 |
| 1669839544 | Gunnar Frederick Lindfors IIi | Pharmacist | 2511 Trimmier Rd, Suite 100, Killeen, TX 76542-1908 | 2016-01-22 |
| 1194167551 | Matthew Ryan Fulton | Pharmacist | 2511 Trimmier Rd, Killeen, TX 76542-1908 | 2013-07-25 |
| 1174854582 | Anna Sue Gossett | Pharmacist | 2511 Trimmier Rd, Killeen, TX 76542-1908 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| 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 |
|---|---|---|---|---|
| 1669080255 | Kaelyn Phommavong Linares | Behavior Technician | 4003 W Stan Schlueter Loop, Killeen, TX 76549-6119 | 2020-07-20 |
| 1144845462 | Allina Natalie Flores | Behavior Technician | 5007 Williamette Ln, Killeen, TX 76549-5693 | 2020-06-11 |
| 1811543598 | Trisha Libansky | Behavior Technician | 3310 E Rancier Ave Apt 436, Killeen, TX 76543-4118 | 2019-08-17 |
| 1073171161 | Cheyenne Lee Burton | Behavior Technician | 3106 S W S Young Dr Ste 204, Killeen, TX 76542-2008 | 2019-06-03 |
| 1891358339 | Mayumi Cristina Cervantes | Behavior Technician | 3106 S W S Young Dr # B204, Killeen, TX 76542-2000 | 2019-04-19 |
| 1003389586 | Joshua Taylor Bouse | Behavior Technician | 3106 S W S Young Dr Ste B204, Killeen, TX 76542-2000 | 2019-01-07 |
| 1508338443 | Chloe Bush | Behavior Technician | 1707 Spring Rose Cir Apt D, Killeen, TX 76543-8857 | 2018-12-17 |
| 1467920272 | Raynal Sanders | Behavior Technician | 2910 Blackburn Dr, Killeen, TX 76543-2696 | 2018-11-09 |
| 1003381765 | Rachel Williams | Behavior Technician | 310 W Central Texas Expressway, 1, Killeen, TX 76541-2573 | 2018-10-09 |
| 1912481623 | Karen Davis | Behavior Technician | 1704 Nina Dr, Killeen, TX 76549-2228 | 2018-09-18 |
| Find all providers in KILLEEN | ||||
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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.