GUADALUPE GOMEZ (NPI# 1073099370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073099370 |
| Entity Type | Individual |
| Full Name | GUADALUPE GOMEZ |
| Practice Address |
15708 Pomerado Rd Ste 102n Poway CA 92064-2035 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8587465566 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1760906069 | Guadalupe Socorro Gomez | Case Manager/Care Coordinator | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2017-07-28 |
| 1457725798 | Guadalupe Gomez | Developmental Therapist | 100 Congress Ave Ste 2000, Austin, TX 78701-2745 | 2015-11-24 |
| 1720310667 | Guadalupe Joyce Gomez | Specialist/Technologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2010-02-03 |
| Street Address |
15708 POMERADO RD STE 102N |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639612955 | Madeline Horner | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2016-11-18 |
| 1437762416 | Hye Sim Chung | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-08-28 |
| 1821622622 | Satinder Kaur | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-03-02 |
| 1093349904 | Maya Marie Bonelli | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-02-29 |
| 1649803693 | Eugenia Ortega | Developmental Therapist | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-02-18 |
| 1316580426 | Chun Hin Trevor Wong | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-21 |
| 1356983993 | Riley M Eckburg | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-15 |
| 1396386066 | Gabriel Alexander Burrill | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-03 |
| 1689222572 | Alyssa Lynn Allen | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-09-03 |
| 1376191429 | Xavier Daoedsjah Thompson | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| 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 |
|---|---|---|---|---|
| 1639612955 | Madeline Horner | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2016-11-18 |
| 1912353780 | Cameron Eby Randall | Behavioral Analyst | 14251 Danielson St, Poway, CA 92064-8818 | 2016-05-10 |
| 1790384865 | Julienne Heitkemper | Behavioral Analyst | 15708 Pomerado Rd, Poway, CA 92064-2066 | 2020-10-20 |
| 1558995894 | Mathieu Jan Cacho Aquino | Behavioral Analyst | 14251 Danielson St, Poway, CA 92064-8818 | 2020-02-25 |
| 1396386066 | Gabriel Alexander Burrill | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-10-03 |
| 1316598048 | Carly Marie Chianese | Behavioral Analyst | 14251 Danielson St, Poway, CA 92064-8818 | 2019-09-24 |
| 1356991780 | Shawn Christine Rice | Behavioral Analyst | 15708 Pomerado Rd Ste 102, Poway, CA 92064-2035 | 2019-09-17 |
| 1649827916 | Ciana Penamora Dimacali | Behavioral Analyst | 15708 Pomerado Rd, Poway, CA 92064-2066 | 2019-08-21 |
| 1215582457 | Chad Alan Pittman | Behavioral Analyst | 14251 Danielson St, Poway, CA 92064-8818 | 2019-08-05 |
| 1780237107 | Ariana Montreuil | Behavioral Analyst | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2019-07-24 |
| Find all providers in POWAY | ||||
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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.