JACQUELYNE MARIE BURGOS (NPI# 1841837747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841837747 |
| Entity Type | Individual |
| Full Name | JACQUELYNE MARIE BURGOS |
| Credential | BA |
| Practice Address |
1101 W Moana Ln Ste 2 Reno NV 89509-4734 |
| Practice Telephone | 7753372394 |
| Mailing Telephone | 7753372394 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| 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 |
1101 W MOANA LN STE 2 |
| City | RENO |
| State | NV |
| Zip Code | 89509-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477883742 | Keith Merlin Kaululaau | Counselor | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2010-01-07 |
| 1962019356 | Crysta Catan | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2020-09-29 |
| 1891301735 | Senifa Elizabeth Po'oi | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2020-09-16 |
| 1992316954 | Hanna Lee Fetters | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2020-08-13 |
| 1265070668 | Lizeth Berenice Garcia Juarez | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-12-16 |
| 1477194132 | Macy L Barnes | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-10-03 |
| 1700436698 | Natasha Mcdaniel | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-09-12 |
| 1629630751 | Samuel Thomas Dykstra | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-06-28 |
| 1144783440 | Lori Cross | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-04-12 |
| 1861952558 | Mastor Bellamy | Behavior Technician | 1101 W Moana Ln Ste 2, Reno, NV 89509-4734 | 2019-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
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| 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 |
|---|---|---|---|---|
| 1740804897 | Rose Marie Patterson | Behavior Technician | 1000 Harvard Way Apt 64, Reno, NV 89502-2034 | 2020-06-04 |
| 1447874961 | Tobiah Steele | Behavior Technician | 3100 Mill St Ste 204, Reno, NV 89502-2217 | 2020-06-01 |
| 1497229116 | Stephania Lassahn | Behavior Technician | 6490 S Mccarran Blvd Unit 21, Reno, NV 89509-6165 | 2019-01-15 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1275010795 | Tiffany Mora | Behavior Technician | 140 Chism St Apt 6, Reno, NV 89503-5549 | 2018-07-26 |
| 1215414859 | Kristin Amy Delwiche | Behavior Technician | 2349 Wide Horizon Dr, Reno, NV 89509-5081 | 2018-07-26 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1285126680 | Emily Danielle Spurlock | Behavior Technician | 11441 Green Mountain St, Reno, NV 89506-1550 | 2018-05-31 |
| 1518459171 | Kristen Green | Behavior Technician | 604 W Moana Ln, Reno, NV 89509-4903 | 2018-05-30 |
| 1992293369 | Letresa Marie Kent | Behavior Technician | 444 Kirman Ave Apt D5, Reno, NV 89502-1938 | 2018-05-01 |
| Find all providers in RENO | ||||
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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.