MISS KASSIDY ROSE CONNORS (NPI# 1770197170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770197170 |
Entity Type | Individual |
Full Name | MISS KASSIDY ROSE CONNORS |
Practice Address |
729 N California St Stockton CA 95202-1817 |
Mailing Address |
2291 W March Ln Ste C101 Stockton CA 95207-6669 |
Practice Telephone | 2097797162 |
Mailing Telephone | 9167293098 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-02 |
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 |
729 N CALIFORNIA ST |
City | STOCKTON |
State | CA |
Zip Code | 95202-1817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194843599 | Women's Center-youth & Family Services | Community/Behavioral Health | 729 N California St, Stockton, CA 95202-1817 | 2007-03-26 |
1801367289 | Jewell Josephine Banks | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2018-12-11 |
1285122671 | Shawna Jonell Brevik | Marriage & Family Therapist | 729 N California St, Stockton, CA 95202-1817 | 2018-05-01 |
1497273684 | Olga Lidia Sedano | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2017-09-07 |
1609241892 | Jamie George | Social Worker | 729 N California St, Stockton, CA 95202-1817 | 2015-12-14 |
1538572284 | Sophary Sam | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2014-06-10 |
1184037947 | Rebecca Monterrubio | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2014-06-09 |
1083962195 | Melissa Amos | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2012-08-21 |
1831468206 | Colia Marie Howell | Case Manager/Care Coordinator | 729 N California St, Stockton, CA 95202-1817 | 2011-12-14 |
1245476555 | Katherine Mary Soltero | Counselor | 729 N California St, Stockton, CA 95202-1817 | 2008-12-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
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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 |
---|---|---|---|---|
1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
1053919761 | Corriana Brown | Behavior Technician | 5523 Patti Lynn Way, Stockton, CA 95212-3842 | 2020-10-14 |
1366049959 | Maria Estavillo | Behavior Technician | 4305 Julius Ct, Stockton, CA 95207-6531 | 2020-10-06 |
1417564634 | Ceidy Burgos | Behavior Technician | 8651 Acapulco Way Apt 2, Stockton, CA 95210-1811 | 2020-09-30 |
1982211488 | Willisha Tietiana Bottley | Behavior Technician | 3893 Jacarandas Ct, Stockton, CA 95206-5159 | 2020-09-29 |
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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.