JENNIFER KORTRIGHT (NPI# 1043715972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043715972 |
| Entity Type | Individual |
| Full Name | JENNIFER KORTRIGHT |
| Practice Address |
2121 41st Ave Ste 211 Capitola CA 95010-2058 |
| Practice Telephone | 8314245565 |
| Mailing Telephone | 8314245565 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-17294 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2121 41ST AVE STE 211 |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805593 | Natalie Mogan | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2019-08-06 |
| 1568920692 | Reema Shivani | Behavioral Analyst | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2019-03-07 |
| 1720559115 | Laura Olson Swanson | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2018-12-10 |
| 1730659509 | Jason Chapman | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2018-12-05 |
| 1245706159 | Julia Antonya Knebel | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2018-10-18 |
| 1376028308 | Andrew Aseal Ardroumli | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2018-09-25 |
| 1497241483 | Sarah Elizabeth Bayani | Behavior Technician | 2121 41st Ave Ste 211, Capitola, CA 95010-2058 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| 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 |
|---|---|---|---|---|
| 1518566256 | Isabelle Torres | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-10-23 |
| 1528673126 | Natalie Gonzalez | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-09-10 |
| 1437764032 | Madeline Bollengier | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-09-10 |
| 1508470253 | Lana Grassi | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-09-01 |
| 1134731904 | Deshanique Williams | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-08-21 |
| 1083230551 | Angelina San Paolo | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-06-22 |
| 1043835754 | Olivia Malone | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-06-09 |
| 1053936831 | Amanda Delear | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-06-08 |
| 1114558459 | Amanda Rudolph | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-01-27 |
| 1366082877 | Janay Laws | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2020-01-13 |
| Find all providers in CAPITOLA | ||||
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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.