TRACY WALLEN (NPI# 1043706294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043706294 |
| Entity Type | Individual |
| Full Name | TRACY WALLEN |
| Practice Address |
1446 Ethan Way Sacramento CA 95825-2214 |
| Mailing Address |
2157 Royal Oaks Dr Sacramento CA 95815-3819 |
| Practice Telephone | 2096672273 |
| Mailing Telephone | 4153752638 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| 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 |
1446 ETHAN WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568624260 | Delita Marie Alvarado | Counselor | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2008-06-25 |
| 1760093181 | Monique Otero | Behavior Technician | 1446 Ethan Way, Sacramento, CA 95825-2234 | 2020-08-10 |
| 1407419286 | Taylor Schmidt | Behavior Technician | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2019-04-17 |
| 1245703164 | Esperonza Maldonado | Behavior Technician | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2019-01-03 |
| 1346713153 | Diana Mendoza | Behavior Technician | 1446 Ethan Way, Sacramento, CA 95825-2214 | 2019-01-03 |
| 1447729090 | Patricia Ano | Behavior Technician | 1446 Ethan Way, Suite 100, Sacramento, CA 95833 | 2018-11-13 |
| 1205304060 | Batool Chaalan | Behavior Technician | 1446 Ethan Way, Suite 100, Sacramento, CA 95825 | 2018-11-08 |
| 1366910127 | Ta Vang | Behavior Technician | 1446 Ethan Way, Suite 100, Sacramento, CA 95815 | 2018-11-08 |
| 1669940524 | Antonia Larreynaga | Behavior Technician | 1446 Ethan Way, Suite 100, Sacramento, CA 95823 | 2018-11-08 |
| 1023586989 | Alexis Solcom | Behavior Technician | 1446 Ethan Way, Suite 100, Sacramento, CA 95823 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| 1366041105 | Brooke Doutherd | Behavior Technician | 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 | 2020-10-22 |
| 1740889633 | Catherine Andrade | Behavior Technician | 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 | 2020-10-21 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1609473156 | Joshua A Soto | Behavior Technician | 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 | 2020-10-07 |
| 1184231714 | Nancy Vue | Behavior Technician | 276 Olmstead Dr, Sacramento, CA 95838-4742 | 2020-09-28 |
| 1609482090 | Javonte Wills | Behavior Technician | 511 9th St Apt 2, Sacramento, CA 95814-1340 | 2020-09-21 |
| 1861006850 | Ayanna Enzy Johnson | Behavior Technician | 1400 Brewerton Dr, Sacramento, CA 95833-1981 | 2020-09-07 |
| 1740894138 | Esmeralda Rodriguez | Behavior Technician | 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 | 2020-09-02 |
| 1881207413 | Angela Santana | Behavior Technician | 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 | 2020-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on TRACY WALLEN.
| 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.