EASTER SEALS BAY AREA (NPI# 1780048421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780048421 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS BAY AREA |
| Practice Address |
160 Wikiup Drive, Suite 102 Santa Rosa CA 95403 |
| Mailing Address |
2730 Shadelands Drive, Bldg. 10 Walnut Creek CA 94598 |
| Practice Telephone | 7078433745 |
| Mailing Telephone | 9252668400 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | SUSAN ARMIGER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9252668400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | CA | Speech, Language and Hearing Service Providers | |
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1881040061 | Easter Seals Bay Area | Occupational Therapist | 1151 A Street, Hayward, CA 94541 | 2016-05-06 |
| 1861757296 | Easter Seals Bay Area | Behavioral Analyst | 180 Grand Ave, Suite 225, Oakland, CA 94612 | 2012-07-11 |
| 1790081040 | Easter Seals Bay Area | Day Training, Developmentally Disabled Services | 7425 Larkdale Ave, Dublin, CA 94568 | 2011-02-03 |
| 1245536598 | Easter Seals Bay Area | Behavioral Analyst | 744 Empire Street, Suite 160, Fairfield, CA 94533 | 2011-02-03 |
| 1700105079 | Easter Seals Bay Area | Occupational Therapist | 2730 Shadelands Drive, Bldg. 10, Walnut Creek, CA 94598 | 2010-05-25 |
| 1902134547 | Easter Seals Bay Area | Occupational Therapist | 1101 South Winchester Blvd., Suite N260, San Jose, CA 95128 | 2009-11-19 |
| 1053767236 | Easter Seals Bay Area | Behavioral Analyst | 391 Taylor Blvd, Suite 250, Pleasant Hill, CA 94523-2294 | 2016-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EASTER SEALS BAY AREA | 391 Taylor Blvd, Suite 250, Pleasant Hill, CA 94523 |
| Street Address |
160 WIKIUP DRIVE, SUITE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340440 | Sujey Arzeta | Behavioral Analyst | 1965 Zinfandel Ave Apt 201, Santa Rosa, CA 95403-7247 | 2020-03-05 |
| 1912564808 | Ceci Yazmin Godoy Barragan | Behavioral Analyst | 1316 Edwards Ave Apt A, Santa Rosa, CA 95401-4260 | 2019-05-25 |
| 1609432681 | Sarah Renee Briggs | Behavioral Analyst | 1721 Mesa Way, Santa Rosa, CA 95407-7141 | 2019-05-15 |
| 1619532439 | Marisol Aguirre | Behavioral Analyst | 737 Hewett St, Santa Rosa, CA 95401-5364 | 2019-05-07 |
| 1962066142 | Helen Gebretensai Gubsa | Behavioral Analyst | 8 Woodwardia Sq, Santa Rosa, CA 95409-5328 | 2019-04-23 |
| 1689133076 | Lattice Educational Services | Behavioral Analyst | 3273 Airway Dr Ste A, Santa Rosa, CA 95403-2080 | 2019-03-15 |
| 1033681267 | Ilany Prieto Altamirano | Behavioral Analyst | 2603 Northcoast St, Santa Rosa, CA 95403-3305 | 2018-12-28 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1063997856 | Taralyn Marie Kolster | Behavioral Analyst | 2001 Piner Rd Apt 148, Santa Rosa, CA 95403-6962 | 2018-09-27 |
| 1578047940 | Jenifer Catherine Hamilton | Behavioral Analyst | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on EASTER SEALS BAY AREA.
| 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.