JERRELL BRADFORD (NPI# 1952867590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
Street Address |
23302 S VERMONT AVE |
City | TORRANCE |
State | CA |
Zip Code | 90502-2940 |
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 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 |
---|---|---|---|---|
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 |
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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.