AMY TIDWELL (NPI# 1912415969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912415969 |
| Entity Type | Individual |
| Full Name | AMY TIDWELL |
| Practice Address |
5620 Birdcage St Ste 230 Citrus Heights CA 95610 |
| Mailing Address |
5620 Birdcage St Ste 230 Citrus Heights CA 95610-7632 |
| Practice Telephone | 9162986874 |
| Mailing Telephone | 9162562805 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-05-25 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761764 | Amy Tidwell | Pharmacist | 1751 Tiny Town Rd, Clarksville, TN 37042-7632 | 2020-08-18 |
| 1275827958 | Amy Dempsey Tidwell | Nurse Practitioner | 551 Azalea Dr, Suite 102, Oxford, MS 38655-7900 | 2011-05-31 |
| Street Address |
5620 BIRDCAGE ST STE 230 |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992019699 | Suzan L Bonzo | Behavioral Analyst | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610 | 2010-08-05 |
| 1134734858 | Yanelly Gasca-reyes | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-09-10 |
| 1619503638 | Jason Szuszitzky | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-03-21 |
| 1922634617 | Maritza Aguilar-nunez | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-03-13 |
| 1114550167 | Aubrey Freitas | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-02-18 |
| 1174155618 | Shannel Antionnette Jones | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-02-11 |
| 1457981300 | Noah Oliver Rollins | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-01-20 |
| 1871123927 | Rachel Jean Mulder | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2020-01-16 |
| 1376181628 | Ashley Nichole Schott | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2019-12-17 |
| 1487291654 | Dana Heuer | Behavior Technician | 5620 Birdcage St Ste 230, Citrus Heights, CA 95610-7632 | 2019-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| 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 |
|---|---|---|---|---|
| 1194325233 | Christopher Aviles | Behavior Technician | 6913 Gimbel Way, Citrus Heights, CA 95621-3649 | 2020-10-28 |
| 1659970762 | Adelina Beas | Behavior Technician | 6365 Tupelo Dr, Citrus Heights, CA 95621-1759 | 2020-10-20 |
| 1508471244 | Anca Josephine Hommert | Behavior Technician | 6131 Quincewood Cir, Citrus Heights, CA 95621-1733 | 2020-09-10 |
| 1497369482 | Amber Robinson | Behavior Technician | 6104 Glenhurst Way, Citrus Heights, CA 95621-1703 | 2020-09-07 |
| 1174133029 | Mellani Murphy | Behavior Technician | 8340 Beckwith Way, Citrus Heights, CA 95610-3304 | 2020-08-05 |
| 1972113827 | Lizbeth Judith Brambila | Behavior Technician | 6422 San Stefano St, Citrus Heights, CA 95610-5730 | 2020-08-05 |
| 1770122251 | Lindsay Nichole Stanbery | Behavior Technician | 8149 Butternut Dr, Citrus Heights, CA 95621-1106 | 2019-12-31 |
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1811548795 | Nova Silbaugh | Behavior Technician | 7908 Picnic Ct, Citrus Heights, CA 95621-1238 | 2019-09-23 |
| 1396201240 | Lyubov Stanislavovna Dobryanska | Behavior Technician | 6624 Campfire Way, Citrus Heights, CA 95621-3336 | 2019-02-15 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
Please comment or provide details below to improve the information on AMY TIDWELL.
| 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.