MADELYN BARTOLOME (NPI# 1902369861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902369861 |
| Entity Type | Individual |
| Full Name | MADELYN BARTOLOME |
| Practice Address |
5111 Johnson Dr Pleasanton CA 94588-3343 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9255967000 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
5111 JOHNSON DR |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306162219 | Mandy Anne Witthar | Case Manager/Care Coordinator | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2010-04-16 |
| 1902442627 | Nabihah Zehra Basravi | Behavior Technician | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-11-18 |
| 1902448293 | Morgan Jeppesen | Behavioral Analyst | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-10-08 |
| 1881245496 | Edward Anthony Steinway | Behavior Technician | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-09-25 |
| 1700436623 | Chrysell Hayley | Behavior Technician | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-09-12 |
| 1962058099 | Riya Milind Vaidya | Behavioral Analyst | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-08-14 |
| 1053967190 | Bree Elena Underwood | Behavioral Analyst | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-08-14 |
| 1982269619 | Vien Huynh | Behavioral Analyst | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-05-08 |
| 1619532207 | Nicole Ariel Blair | Behavior Technician | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-05-08 |
| 1538620026 | Rohit Nitin Shingate | Behavior Technician | 5111 Johnson Dr, Pleasanton, CA 94588-3343 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| 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 |
|---|---|---|---|---|
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1215578554 | Brandon Kinsey | Behavior Technician | 4343 Addison Way, Pleasanton, CA 94588-3901 | 2019-10-07 |
| 1528629474 | Jimmie Jones | Behavior Technician | 8055 Mountain View Dr Apt B, Pleasanton, CA 94588-4745 | 2019-06-21 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1861960668 | Melissa A Kahn | Behavior Technician | 5716 Owens Dr Apt 103, Pleasanton, CA 94588-4608 | 2018-11-09 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1922574375 | Deneen Allmond | Behavior Technician | 5820 Stoneridge Mall Rd Ste 205302, Pleasanton, CA 94588-3274 | 2018-10-23 |
| 1770089807 | Katherine Sanchez | Behavior Technician | 5820 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588-3347 | 2018-04-05 |
| 1760985477 | Thalia Lita | Behavior Technician | 5820 Stoneridge Mall Rd. Suite 205, Pleasanton, CA 94588-4025 | 2018-03-09 |
| 1558861286 | Lorena Fiorda Ress | Behavior Technician | 5820 Stnrge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-02-19 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on MADELYN BARTOLOME.
| 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.