JERRELL BRADFORD


Address: 23302 S Vermont Ave, Torrance, CA 90502-2940
Phone: 3103824093

JERRELL BRADFORD (NPI# 1952867590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952867590
Entity Type Individual
Full Name JERRELL BRADFORD
Practice Address 23302 S Vermont Ave
Torrance
CA 90502-2940
Mailing Address 12443 Lewis St
Garden Grove
CA 92840-4650
Practice Telephone 3103824093
Mailing Telephone 7147484440
Enumeration Date 2019-02-19
Last Update Date 2019-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician CA Behavioral Health & Social Service Providers

Office Location

Street Address 23302 S VERMONT AVE
City TORRANCE
State CA
Zip Code 90502-2940

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992319149 Gia Chodzen Student in an Organized Health Care Education/Training Program Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 2020-09-04
1750994919 Desiree Elise Cervantes Social Worker Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 2020-08-27
1205448644 Tabitha Tamara Black Student in an Organized Health Care Education/Training Program Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 2020-08-18
1538718531 Harbor-ucla Dmh Student in an Organized Health Care Education/Training Program Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 2019-09-11
1891345831 Sydney Del Carmen Wheat Student in an Organized Health Care Education/Training Program 1000 W Carson St Box #488, Torrance, CA 90502 2019-09-11
1467971283 Grace Y Kim Student in an Organized Health Care Education/Training Program Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 2017-09-13
1619498631 Shauntel Locus Case Manager/Care Coordinator 1124 W. Carson Street, Torrance, CA 90502 2017-06-29
1740700079 Charlise Brown-scranton Registered Nurse 711 W. Del Amo Blvd, Torrance, CA 90502 2017-06-27
1497280978 C Edward Villasenor Castelo Specialist 1000 W Carson St # D5, Torrance, CA 90502 2017-04-21
1114464393 Brissa Giron Counselor 19401 Vermont Ave, Suite C100, Torrance, CA 90502 2017-01-25
Find all providers in zip 90502

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952918708 Ashley Santiago Behavior Technician 21515 Hawthorne Blvd Unit Gl100, Torrance, CA 90503-6501 2020-09-25
1952925364 Talisa Rose Ortiz Behavior Technician 21515 Hawthorne Blvd Unit Gl-100, Torrance, CA 90503-6501 2020-06-01
1467074872 Dante Anton Behavior Technician 16685 Crenshaw Blvd, Torrance, CA 90504-2151 2020-05-08
1508485038 Katherine Ruth Lewis Behavior Technician 357 Van Ness Way Ste 175, Torrance, CA 90501-1483 2020-04-14
1932761442 Jessica Lyn Costello Behavior Technician 21023 Amie Ave, Torrance, CA 90503-4747 2019-07-03
1073179974 Brian F Hernandez Behavior Technician 16112 Van Ness Ave Apt 5, Torrance, CA 90504-1628 2019-05-15
1609431063 Alanna Ng Behavior Technician 20308 Madison St Apt 4, Torrance, CA 90503-2541 2019-05-01
1124585955 Jacqueline Vargas Castillo Behavior Technician 637 Sartori Ave, Torrance, CA 90501-1407 2019-02-28
1518444769 Kellie Michelle Butler Behavior Technician 21014 Reynolds Dr Apt 2, Torrance, CA 90503-4266 2018-07-20
1285125948 Leeza Denise Villavicencio Behavior Technician 23842 Hawthorne Blvd Ste 100101, Torrance, CA 90505-5929 2018-05-29
Find all providers in TORRANCE

Competitor

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City TORRANCE
Zip Code 90502

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Dataset Information

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.

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