ELYDIA GONZALEZ (NPI# 1083271829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083271829 |
| Entity Type | Individual |
| Full Name | ELYDIA GONZALEZ |
| Credential | RBT |
| Practice Address |
1710 S Amphlett Blvd San Mateo CA 94402-2703 |
| Practice Telephone | 6504834637 |
| Mailing Telephone | 6504834637 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1710 S AMPHLETT BLVD |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669525911 | Farzana Amin | Psychiatry & Neurology | 1710 S Amphlett Blvd, Suite 301, San Mateo, CA 94402-2703 | 2007-01-19 |
| 1497380901 | Charles Phinehas Schwartz IIi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-03-04 |
| 1144860586 | Camille Evelyn Kellstedt | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2020-01-14 |
| 1417599614 | Pragna Tantravahi | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402 | 2019-10-09 |
| 1942859020 | Peter M Kitsamba | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-09-10 |
| 1053960138 | Ben Chettipally | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-09-10 |
| 1750938775 | Sabrina Kelly Gonzales | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-08-23 |
| 1578123477 | Matthew Wong | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-13 |
| 1619536679 | Amanda Rodriguez | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-06-12 |
| 1649836131 | Bailey Elise Norman | Behavior Technician | 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 | 2019-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
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| 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 |
|---|---|---|---|---|
| 1679188734 | Jannelle Nicole Zamora | Behavioral Analyst | 3050 Los Prados St Apt 25, San Mateo, CA 94403-2028 | 2020-09-14 |
| 1083191951 | Alexander Clark Schalla | Behavioral Analyst | 1710 S Amphlett Blvd Ste 216, San Mateo, CA 94402-2705 | 2018-07-24 |
| 1982137865 | Jhene Lilia Amasa | Behavioral Analyst | 3555 Edison St Apt G, San Mateo, CA 94403-3419 | 2017-04-06 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1205297926 | Megan Al Jamea | Behavioral Analyst | 269 36th Ave, San Mateo, CA 94403-4201 | 2016-03-08 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1306201678 | Jessica Solari | Behavioral Analyst | 924 Peninsula Ave, San Mateo, CA 94401-1506 | 2015-12-30 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| 1922470228 | Lisa Dawn Register | Behavioral Analyst | 3720 Alameda De Las Pulgas, San Mateo, CA 94403-4115 | 2015-10-26 |
| 1649669060 | Kristin Nicholl | Behavioral Analyst | 1710 S Amphlett Blvd Ste 314, San Mateo, CA 94402-2736 | 2015-01-22 |
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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.