MABEL ETUKNWA (NPI# 1841768629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841768629 |
| Entity Type | Individual |
| Full Name | MABEL ETUKNWA |
| Practice Address |
11925 Southwest Fwy Unit 3b Stafford TX 77477-2300 |
| Practice Telephone | 8324605121 |
| Mailing Telephone | 8324605121 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| 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 |
| Street Address |
11925 SOUTHWEST FWY UNIT 3B |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356828545 | Jocelyn Edith Gomez | Behavioral Analyst | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-07-20 |
| 1568927218 | Pauline Deanna Cubelio | Assistant Behavior Analyst | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2019-02-07 |
| 1487122214 | Monique Mitchell | Behavior Technician | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-11-09 |
| 1316415342 | Dejona Wilson | Behavior Technician | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-11-07 |
| 1659858314 | Carlos E Melgar | Behavioral Analyst | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| 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 |
|---|---|---|---|---|
| 1205443397 | Michelle Marie Garman Jones | Behavior Technician | 10435 Greenbough Dr Ste A, Stafford, TX 77477-5000 | 2020-09-23 |
| 1952924904 | Caroline E Payne | Behavior Technician | 21 Winning Colors Rd, Stafford, VA 22556-6658 | 2020-05-26 |
| 1881217040 | Renard Desjarion Thomas | Behavior Technician | 33 Bradbury Way, Stafford, VA 22554-1801 | 2020-05-22 |
| 1215550785 | Alexis R. Erb | Behavior Technician | 2761 Jefferson Davis Hwy Ste 107109, Stafford, VA 22554-8329 | 2020-05-19 |
| 1912539586 | Christine Masters | Behavior Technician | 231 Garrisonville Rd Ste 205, Stafford, VA 22554-1603 | 2020-02-11 |
| 1023640315 | Megan Claire Moran | Behavior Technician | 10435 Greenbough Dr Unit A, Stafford, TX 77477-5000 | 2020-02-05 |
| 1477196731 | Skyler Hope Frias | Behavior Technician | 21 Equestrian Dr, Stafford, VA 22556-3441 | 2019-10-18 |
| 1497302400 | Gina C Kells | Behavior Technician | 190 Cherry Hill Dr, Stafford, VA 22556-3654 | 2019-08-23 |
| 1033687942 | Brittany Kohler | Behavior Technician | 2761 Jefferson Davis Hwy Ste 105, Stafford, VA 22554-8330 | 2018-11-08 |
| 1366919730 | Gina Marie Brunson | Behavior Technician | 538 Apricot St, Stafford, VA 22554-2555 | 2018-10-24 |
| Find all providers in STAFFORD | ||||
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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.