MALISA MARTINEZ (NPI# 1811516198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811516198 |
| Entity Type | Individual |
| Full Name | MALISA MARTINEZ |
| Practice Address |
27625 Havana Ave Apt Suite Hayward CA 94544-5005 |
| Mailing Address |
27625 Havana Ave Hayward CA 94544-5005 |
| Practice Telephone | 5104913829 |
| Mailing Telephone | 5104913829 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| 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 |
27625 HAVANA AVE APT SUITE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| 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 |
|---|---|---|---|---|
| 1407453038 | Carolyn Eusebio | Behavior Technician | 25006 Lucien Way, Hayward, CA 94544-1911 | 2020-10-06 |
| 1578179834 | Erica Ramirez | Behavior Technician | 21973 Princeton St, Hayward, CA 94541-3812 | 2020-09-21 |
| 1790301620 | Newman Vila | Behavior Technician | 2955 Blanding Ct, Hayward, CA 94541-3418 | 2020-06-16 |
| 1427671155 | Thomas Tai Nguyen | Behavior Technician | 24623 Soto Rd Bldg 2, Hayward, CA 94544-1927 | 2020-05-28 |
| 1841826351 | Nittia Henry | Behavior Technician | 537 Evelyn Ln, Hayward, CA 94544-2303 | 2020-03-16 |
| 1518599315 | Vishal Raj | Behavior Technician | 2769 Cook Pl, Hayward, CA 94545-3309 | 2020-02-10 |
| 1326678673 | Teresa M Esparza | Behavior Technician | 21539 Westpark St Apt 2, Hayward, CA 94541-5810 | 2020-01-24 |
| 1316585748 | Ashley Angelica Flores | Behavior Technician | 25200 Carlos Bee Blvd Apt 294, Hayward, CA 94542-1507 | 2019-12-16 |
| 1285271973 | Haley Nicole Miller | Behavior Technician | 1180 B Street, Hayward Ca 94541, Hayward, CA 94541-9454 | 2019-12-02 |
| 1104461623 | Bryce Kasamoto | Behavior Technician | 22320 Foothill Blvd Ste 203, Hayward, CA 94541-2885 | 2019-11-07 |
| Find all providers in HAYWARD | ||||
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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.