OKSANA A SHUTKOVA


Address: 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821
Phone: 9162476942

OKSANA A SHUTKOVA (NPI# 1770053258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770053258
Entity Type Individual
Full Name OKSANA A SHUTKOVA
Practice Address 2823 El Camino Avenue
Appt #19
Sacramento
CA 95821
Practice Telephone 9162476942
Mailing Telephone 9162476942
Enumeration Date 2018-11-28
Last Update Date 2018-11-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA KAISER 1116396351 01

Office Location

Street Address 2823 EL CAMINO AVENUE
APPT #19
City SACRAMENTO
State CA
Zip Code 95821

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972100717 Denise Renee Landgraf Licensed Vocational Nurse 3615 Marconi Ave, Sacramento, CA 95821 2020-10-05
1871063420 Otto Bock Orthopedic Services LLC Durable Medical Equipment & Medical Supplies 3800 Watt Avenue Suite 151, Sacramento, CA 95821 2018-11-27
1386123438 Rene William Villanueva Marriage & Family Therapist 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 2018-08-09
1558853135 Behavioral Health Solutions of The Pacific Clinic/Center 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 2018-05-31
1679064091 Carrissa Jean Angelique Bishop Counselor 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 2018-05-21
1164943049 Vanessa Selene Tinajero Social Worker 3615 Macorni Ave, Sacramento, CA 95821 2017-06-30
1316488562 Lucas Hansen Student in an Organized Health Care Education/Training Program 3007 Clairidge Oak Ct, Sacramento, CA 95821 2017-03-20
1215383054 Mark Brufladt Physical Therapy Assistant 3548 Ardmore Rd, Sacramento, CA 95821 2016-05-11
1053782789 Marianna Jakucska Marriage & Family Therapist 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 2015-10-07
1447657309 Yvonne Kraemer Marriage & Family Therapist 3650 Auburn Blvd C208, Life Practice Counseliing Group, Sacramento, CA 95821 2014-11-20
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801497821 Daisia Newman Behavior Technician 3038 Great Egret Way, Sacramento, CA 95834-1096 2020-11-05
1366041105 Brooke Doutherd Behavior Technician 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 2020-10-22
1740889633 Catherine Andrade Behavior Technician 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 2020-10-21
1962009308 Andrea Isabel Morales Behavior Technician 333 University Avenue, Suite 200, Sacramento, CA 95825 2020-10-08
1609473156 Joshua A Soto Behavior Technician 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 2020-10-07
1184231714 Nancy Vue Behavior Technician 276 Olmstead Dr, Sacramento, CA 95838-4742 2020-09-28
1609482090 Javonte Wills Behavior Technician 511 9th St Apt 2, Sacramento, CA 95814-1340 2020-09-21
1861006850 Ayanna Enzy Johnson Behavior Technician 1400 Brewerton Dr, Sacramento, CA 95833-1981 2020-09-07
1740894138 Esmeralda Rodriguez Behavior Technician 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 2020-09-02
1881207413 Angela Santana Behavior Technician 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 2020-08-24
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Competitor

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City SACRAMENTO
Zip Code 95821

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Dataset Information

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.

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