ETERNITY CHILTON (NPI# 1831717313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831717313 |
| Entity Type | Individual |
| Full Name | ETERNITY CHILTON |
| Practice Address |
26900 Newport Rd Ste 111 Menifee CA 92584-9224 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9513099135 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
26900 NEWPORT RD STE 111 |
| City | MENIFEE |
| State | CA |
| Zip Code | 92584-9224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952826273 | Erika Lynn Meagher | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2017-08-08 |
| 1609476431 | Ana Luna Flores | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-10-30 |
| 1407454994 | Kaitlyn Breann Daggett | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-10-15 |
| 1336755818 | Alicia Morris | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-09-19 |
| 1790398782 | Cindy Anahi Piceno | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-08-28 |
| 1861003303 | Alicia Findlay | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-08-10 |
| 1285252775 | Michelle Tan | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-07-10 |
| 1295368074 | Nathanael Delacruz | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-02-19 |
| 1023649886 | Marissa Farias | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-01-30 |
| 1205476306 | Rene Vidal Franco Villegas | Behavior Technician | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091249 | Christopher Aron Sanders | Family Medicine | 30243 Westlake Dr, Menifee, CA 92584 | 2019-12-27 |
| 1336619451 | Tricia Rose Fontanilla Alegado | Nurse Practitioner | 29740 Mesa Verde Cir, Menifee, CA 92584 | 2018-12-01 |
| 1548776446 | Nicole O'neil | Nurse Practitioner | 29826 Haun Rd Suite 300, Menifee, CA 92584 | 2017-12-14 |
| 1518485150 | Harvinder Singh | Driver | 31972 Ruxton St, Menifee, CA 92584 | 2017-09-04 |
| 1558884239 | Poulsen Dental Corporation | Dentist | 29121 Newport Road, Ste 1, Menifee, CA 92584 | 2017-07-25 |
| 1598200040 | Thay Kieu | Dental Hygienist | 30035 Haun Rd, Menifee, CA 92584 | 2016-12-19 |
| 1033668652 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 28995 Newport Road, Menifee, CA 92584 | 2016-09-23 |
| 1295187474 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 30035 Haun Road, Menifee, CA 92584 | 2016-07-12 |
| 1871965640 | Sharon D. Benjamin | Licensed Vocational Nurse | 29120 Bridgeport Lane, Menifee, CA 92584 | 2015-10-20 |
| 1538573175 | Edwin Haroldo Alvarez | Physician Assistant | 31216 Silver Moon Court, Menifee, CA 92584 | 2014-06-11 |
| Find all providers in zip 92584 | ||||
| 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 |
|---|---|---|---|---|
| 1275164097 | Charles L Lee II | Behavioral Analyst | 31194 Millbury Dr, Menifee, CA 92584-6617 | 2020-01-30 |
| 1003452129 | Gerry Ann Duarte-laabs I | Behavioral Analyst | 30617 Bayport Ln, Menifee, CA 92584-8976 | 2019-11-24 |
| 1922655307 | Martell Anthony Jones | Behavioral Analyst | 25011 Wooden Gate Dr Ste 1800, Menifee, CA 92584-8464 | 2019-08-21 |
| 1902361801 | Alicia Renteria | Behavioral Analyst | 26900 Newport Rd # Suits111, Menifee, CA 92584-9222 | 2019-02-05 |
| 1255822870 | Jeremy F Castro | Behavioral Analyst | 31311 Shadow Ridge Dr, Menifee, CA 92584-8212 | 2018-05-21 |
| 1952826273 | Erika Lynn Meagher | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2017-08-08 |
| 1285950972 | Paula Tobler | Behavioral Analyst | 28760 Avenida Pacifica, Menifee, CA 92584-8951 | 2010-04-20 |
| 1407454994 | Kaitlyn Breann Daggett | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-10-15 |
| 1023649886 | Marissa Farias | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2020-01-30 |
| 1972148096 | Arianna Liset Vargas | Behavioral Analyst | 26900 Newport Rd Ste 111, Menifee, CA 92584-9224 | 2019-11-12 |
| Find all providers in MENIFEE | ||||
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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.