ANGELIQUE M FONSECA (NPI# 1023616737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023616737 |
| Entity Type | Individual |
| Full Name | ANGELIQUE M FONSECA |
| Practice Address |
3425 Coffee Rd Ste C2 Modesto CA 95355-1582 |
| Practice Telephone | 7203775834 |
| Mailing Telephone | 2095214791 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3425 COFFEE RD STE C2 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1174120711 | Rachel Hannah Dyckovsky | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-06 |
| 1730786534 | David Antonio Flores | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1811594617 | Lauren Ching | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1457958258 | Calphen Lei | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1356948152 | Carrie Thai | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1437756236 | Stephani Vaccari | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1134736663 | Veronica Janie Morado | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-09-29 |
| 1467069088 | Andrea Galindo | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-09-28 |
| 1376150995 | Yanet Avila | Behavior Technician | 3425 Coffee Rd Ste C2, Modesto, CA 95355-1582 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| 1366839755 | Hillock Family Dental Inc. | Dentist | 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 | 2015-04-23 |
| Find all providers in zip 95355 | ||||
| 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 |
|---|---|---|---|---|
| 1336787159 | Rupali Dogra | Behavioral Analyst | 3425 Coffee Rd # Are2c, Modesto, CA 95355-1582 | 2019-12-11 |
| 1891357463 | Lollbej Jauregui | Behavioral Analyst | 3813 Anna Lee Ct, Modesto, CA 95356-0803 | 2019-07-03 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1255883302 | Behavioral & Educational Strategies & Training | Behavioral Analyst | 2825 W Rumble Rd, Modesto, CA 95350-0185 | 2016-10-25 |
| 1134570484 | Melissa Gomez | Behavioral Analyst | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-06-28 |
| 1861841314 | Ali Castaneda | Behavioral Analyst | 2124 Paramont Way, Modesto, CA 95355-8443 | 2016-06-06 |
| 1992043665 | Mila Amerine-dickens | Behavioral Analyst | 1317 Oakdale Rd Ste 800, Modesto, CA 95355-3366 | 2013-01-30 |
| 1285978510 | Amalie Holly | Behavioral Analyst | 528 14th St, Modesto, CA 95354-2503 | 2012-11-27 |
| 1942595079 | Alyson Kate Padgett | Behavioral Analyst | 3925 Scenic Dr Apt 82, Modesto, CA 95355-4859 | 2011-06-16 |
| 1093278004 | Jessica Bailey | Behavioral Analyst | 1115 14th St, Modesto, CA 95354-1003 | 2019-04-08 |
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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.