CLOSEL DEFONSE (NPI# 1073136719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136719 |
| Entity Type | Individual |
| Full Name | CLOSEL DEFONSE |
| Practice Address |
7812 W Wood Ln Phoenix AZ 85043-1426 |
| Practice Telephone | 3109567616 |
| Mailing Telephone | 6024161944 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 843051441 | 05 |
| Street Address |
7812 W WOOD LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85043-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087716 | Defonse Family Restoration LLC | Community Based Residential Treatment Facility, Mental Illness | 7812 W Wood Ln, Phoenix, AZ 85043-1426 | 2020-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558311 | Back To Life Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 6420 W Cocopah St, Phoenix, AZ 85043 | 2019-10-08 |
| 1962936112 | Christine B Santa Cruz | Specialist/Technologist | 8101 W. Hammond Ln., Phoenix, AZ 85043 | 2017-04-14 |
| 1558704809 | Valley Independent Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 6408 W Gross Ave, Phoenix, AZ 85043 | 2013-04-16 |
| 1275811598 | Diamond Manor Adult Care | Custodial Care Facility | 7330 W. Getty Drive, Phoenix, AZ 85043 | 2011-08-03 |
| 1821312877 | Bertha Romero | Case Manager/Care Coordinator | 7315 W Jones Ave, Phx, AZ 85043 | 2010-03-19 |
| 1477705788 | Patrick Lynn Perryman | Psychologist | 7250 W Buckeye Rd, Phoenix, AZ 85043 | 2008-10-17 |
| 1891910246 | Sammie Trotter | Technician | 5025 S. 24th Ave, Phoenix, AZ 85043 | 2007-04-13 |
| 1780719617 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6650 W. Lower Buckeye Rd, Phoenix, AZ 85043 | 2007-02-22 |
| 1992713689 | Occupational Health Center of The Southwest Pa | Clinic/Center | 5340 West Buckeye Road, Suite 3, Phoenix, AZ 85043 | 2006-08-04 |
| 1972523710 | William A Crane Jr. | Family Medicine | 7953 W Chickasaw St, Phoenix, AZ 85043 | 2006-07-21 |
| Find all providers in zip 85043 | ||||
| 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 |
|---|---|---|---|---|
| 1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1023629235 | Empowerment Family Care Inc | Behavior Technician | 6918 S 37th Dr, Phoenix, AZ 85041-6160 | 2020-08-11 |
| 1134744360 | A Path To A New World LLC | Behavior Technician | 11242 N 19th Ave Ste 24, Phoenix, AZ 85029-4857 | 2020-06-12 |
| 1083236723 | True Hand Behavioral Agency | Behavior Technician | 7631 W Globe Ave, Phoenix, AZ 85043-1679 | 2020-05-16 |
| 1225662562 | Vanessa Riviera Delgado | Behavior Technician | 16431 N 33rd Dr, Phoenix, AZ 85053-2902 | 2020-02-25 |
| 1285273789 | Sandy Salcido | Behavior Technician | 4710 North 108th Ave, Phoenix, AZ 85037-5472 | 2019-12-31 |
| 1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
| 1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
| 1073151171 | Erick Rotich | Behavior Technician | 6218 W Raymond St, Phoenix, AZ 85043-1918 | 2019-12-19 |
| Find all providers in PHOENIX | ||||
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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.