BROOKE FISHER (NPI# 1780218768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780218768 |
| Entity Type | Individual |
| Full Name | BROOKE FISHER |
| Practice Address |
2730 Shadelands Dr Bldg 10 Walnut Creek CA 94598-2538 |
| Practice Telephone | 9252668400 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123783 | Brooke A Fisher | Nurse's Aide | 12366 W Nevada Pl Apt 107, Lakewood, CO 80228-3228 | 2013-01-10 |
| 1497217954 | Brooke Fisher | Speech-Language Pathologist | 9000 N Rodney Parham Rd, Little Rock, AR 72205-1646 | 2019-04-03 |
| 1710497490 | Brooke Lively Fisher | Nurse Practitioner | 800 N Maitland Ave Ste 102, Maitland, FL 32751-4499 | 2017-10-06 |
| Street Address |
2730 SHADELANDS DR BLDG 10 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326137332 | Shabren Harvey-smith | Social Worker | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2006-10-11 |
| 1578174058 | Erica Smith | Case Manager/Care Coordinator | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-08-10 |
| 1609492875 | Katharine A Kirchenbauer | Specialist | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-06-23 |
| 1770119430 | Kevin Gallegos | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-03-13 |
| 1629603006 | Daniel Valenzuela | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-03-06 |
| 1093347999 | Gagandeep Kaur Bains | Assistant Behavior Analyst | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-02-08 |
| 1972133692 | Emily Rabbitt | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-01-22 |
| 1518597483 | Phalina Hiep | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-01-20 |
| 1912547563 | Jayme Mae Rojee | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-01-12 |
| 1821638529 | Chelsea Oliver | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1144821240 | Alexandra Morgan Hagerty | Behavior Technician | 2681 Baldwin Ln, Walnut Creek, CA 94597-2613 | 2020-11-04 |
| 1871191288 | Olivia M Tugwell | Behavior Technician | 628 Tarrytown Ct, Walnut Creek, CA 94598-4022 | 2020-10-16 |
| 1952928632 | Leslie Priscilla Padilla | Behavior Technician | 3075 Citrus Cir # 249, Walnut Creek, CA 94598-2666 | 2020-06-29 |
| 1578100491 | Marlina Mora | Behavior Technician | 710 S Broadway Ste 100, Walnut Creek, CA 94596-5228 | 2019-12-10 |
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1114491081 | Carolyn G Wolf-flores | Behavior Technician | 313 Lennon Ln, Walnut Creek, CA 94598-2498 | 2019-01-14 |
| 1780154898 | Daniel Fenton | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2018-11-30 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1417423542 | Christina Howie Faye Moscato | Behavior Technician | 877 Ygnacio Valley Rd Ste 101, Walnut Creek, CA 94596-3897 | 2018-10-16 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.