MS. COURTNEY IDE (NPI# 1912518895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912518895 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY IDE |
| Practice Address |
9701 Dino Dr Ste 170 Elk Grove CA 95624-4042 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 9168920013 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
9701 DINO DR STE 170 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009100 | Ezra Jon Perez-lopez | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2019-02-18 |
| 1407457989 | Katherine Mylene Chen | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-11-03 |
| 1316553621 | Isaiah Jalen Davenport | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-09-22 |
| 1689286551 | Nadine Batakji | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-08-20 |
| 1427684828 | Kaylyn G Johnson | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-03-17 |
| 1891329074 | Janet Sandoval | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-02-26 |
| 1184257974 | Kira Nicole Kakudo | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-02-20 |
| 1508499781 | Amber Nicole Morales | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-02-17 |
| 1427680222 | Ralph Robbie Beltran Veridiano | Behavior Technician | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-02-10 |
| 1336770395 | Alan Quin | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2020-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956237 | Pravesh Praneet Lal | Behavioral Analyst | 8320 Dandelion Dr, Elk Grove, CA 95624-4557 | 2019-08-05 |
| 1144787524 | Leah Marie Gulliksen | Behavioral Analyst | 9504 Elk Grove Florin Rd Apt 1, Elk Grove, CA 95624-1841 | 2019-02-21 |
| 1376009100 | Ezra Jon Perez-lopez | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2019-02-18 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1760984413 | Tyler S. Mitchell | Behavioral Analyst | 4312 Slough Ct, Elk Grove, CA 95757-4625 | 2018-03-07 |
| 1750882395 | Taylor Kaiser | Behavioral Analyst | 9351 Feickert Dr, Elk Grove, CA 95624-2800 | 2018-02-27 |
| 1992226526 | Eryn Bond | Behavioral Analyst | 7801 Laguna Blvd Ste 100, Elk Grove, CA 95758-7954 | 2017-07-05 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1073067773 | Jennifer Strickland | Behavioral Analyst | 5238 Spring Creek Way, Elk Grove, CA 95758-4720 | 2016-08-10 |
| 1871945576 | Amy Marie Hodges | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2016-07-06 |
| Find all providers in ELK GROVE | ||||
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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.