MRS. SAMANTHA JO GRIM (NPI# 1013525666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013525666 |
Entity Type | Individual |
Full Name | MRS. SAMANTHA JO GRIM |
Practice Address |
5400 Suncrest Dr Ste D1&d2 El Paso TX 79912-5614 |
Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
Practice Telephone | 8888050759 |
Mailing Telephone | 8182416780 |
Mailing Fax Number | 8182416853 |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-07-20 |
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 |
Street Address |
5400 SUNCREST DR STE D1&D2 |
City | EL PASO |
State | TX |
Zip Code | 79912-5614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518582535 | Ricardo Alberto Alvarez | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-06-15 |
1790390656 | Claudia Sofia Pacheco | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-09-08 |
1184238065 | Brianna Juarez | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-09-08 |
1801409461 | Selena Vallejos | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-08-24 |
1275150690 | Gloria Angelica Ortiz Gamboa | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
Find all providers in zip 79912 |
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 |
---|---|---|---|---|
1033725551 | Gabriela Gasca | Behavior Technician | 2919 Jackson Ave Apt 1, El Paso, TX 79930-3945 | 2020-09-21 |
1447865514 | Edith Araceli Yee | Behavior Technician | 13716 Paseo De Fe Cir, El Paso, TX 79928-8401 | 2020-09-15 |
1366055444 | Deanna Talamantes | Behavior Technician | 12256 Saint Romeo, El Paso, TX 79936-6565 | 2020-08-28 |
1518578962 | Yvette Belinda Diaz | Behavior Technician | 5400 Suncrest Dr Ste D1andd2, El Paso, TX 79912-5614 | 2020-08-10 |
1205454063 | Nova Kaplan | Behavior Technician | 3817 Constitution Dr Ste 100, El Paso, TX 79922-1368 | 2020-07-08 |
1518582535 | Ricardo Alberto Alvarez | Behavior Technician | 5400 Suncrest Dr Ste D1&d2, El Paso, TX 79912-5614 | 2020-06-15 |
1154943546 | Halee Nicole Hester | Behavior Technician | 1035 Belvidere St Ste 100, El Paso, TX 79912-2433 | 2020-05-08 |
1134757677 | Sara Lynn Gomez | Behavior Technician | 1553 Rebecca Ann Dr Unit B, El Paso, TX 79936-6243 | 2020-03-30 |
1750915468 | Christina Marie Pauley | Behavior Technician | 6262 Woodrow Bean, El Paso, TX 79924-5058 | 2020-03-03 |
1801420096 | Sebastian Olguin | Behavior Technician | 1035 Belvidere St, El Paso, TX 79912-2431 | 2020-02-26 |
Find all providers in EL PASO |
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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.