KLARISSA CRUZ (NPI# 1871087015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871087015 |
| Entity Type | Individual |
| Full Name | KLARISSA CRUZ |
| Practice Address |
1 Crow Canyon Ct San Ramon CA 94583-1928 |
| Practice Telephone | 8885318385 |
| Mailing Telephone | 8885318385 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BEHAVIORAL TECHNICIAN | 106S00000X | 01 |
| Street Address |
1 CROW CANYON CT |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184769978 | Megan Jean Salinas | Marriage & Family Therapist | 1 Crow Canyon Ct, Suite 100, San Ramon, CA 94583-1928 | 2007-02-20 |
| 1164918280 | Richard H Henry Jr. | Behavior Technician | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-07-02 |
| 1265926034 | Kristine Sarabia | Behavior Technician | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-06-15 |
| 1255825196 | Joshua Hutalla Dacoco | Behavioral Analyst | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-06-14 |
| 1013409143 | Devin Mcpherson | Behavioral Analyst | 1 Crow Canyon Ct, San Ramon, CA 94583 | 2018-06-04 |
| 1316439565 | Wesley Thomas | Behavior Technician | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-06-04 |
| 1417447509 | Monica C Roberts | Behavior Technician | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-05-14 |
| 1134626336 | Charlotte Urquhart | Behavioral Analyst | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-04-12 |
| 1487159695 | Anaraly Contreras | Behavioral Analyst | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-03-28 |
| 1669977351 | Shelton Lo | Behavior Technician | 1 Crow Canyon Ct, San Ramon, CA 94583-1928 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1801412671 | Emily Hosford | Behavior Technician | 11040 Bollinger Canyon Rd # E155, San Ramon, CA 94582-4969 | 2020-06-17 |
| 1447875158 | Robert Steggal | Behavior Technician | 11040 Bollinger Canyon Rd Ste E155, San Ramon, CA 94582-4969 | 2020-06-09 |
| 1477185627 | Dairie Y Flowers | Behavior Technician | 2218 Canyon Village Cir, San Ramon, CA 94583-6103 | 2020-02-05 |
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1689218604 | Jenna Ashley Bittner | Behavior Technician | 3150 Crow Canyon Pl Ste 170, San Ramon, CA 94583-1728 | 2019-11-01 |
| 1801447917 | Robert Chou | Behavior Technician | 3160 Crow Canyon Pl Ste 110, San Ramon, CA 94583-1105 | 2019-09-20 |
| 1942850052 | Emilio Huerta | Behavior Technician | 111 Deerwood Rd Ste 212, San Ramon, CA 94583-4446 | 2019-09-19 |
| 1558917690 | Jennifer Anne Queirolo | Behavior Technician | 3150 Crow Canyon Pl Ste 110, San Ramon, CA 94583-1716 | 2019-08-14 |
| 1366095879 | Marilyn Narloch | Behavior Technician | 111 Deerwood Rd Ste 115, San Ramon, CA 94583-4445 | 2019-07-23 |
| 1740843341 | Isabela Maya Escalante | Behavior Technician | 1854 Hollyview Dr, San Ramon, CA 94582-5141 | 2019-04-18 |
| Find all providers in SAN RAMON | ||||
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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.