MRS. VICTORIA MATTIMORE (NPI# 1093263709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093263709 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA MATTIMORE |
| Other Name | MS. VICTORIA ARCHULETA |
| Credential | M.A. |
| Practice Address |
333 Estudillo Ave Suite 204 San Leandro CA 94577-4717 |
| Practice Telephone | 5107820950 |
| Practice Fax Number | 5107820970 |
| Mailing Telephone | 5107820950 |
| Mailing Fax Number | 5107820970 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| 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 |
333 ESTUDILLO AVE SUITE 204 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992785042 | Michael Samuel Gelbart | Social Worker | 333 Estudillo Ave, Suite#206, San Leandro, CA 94577-4717 | 2006-01-17 |
| 1104329960 | Edwin Valadez | Behavior Technician | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2018-03-16 |
| 1962904045 | Christopher De Jesus Vazquez | Behavior Technician | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2018-03-05 |
| 1750731568 | Theresa Ann Cruz | Behavioral Analyst | 333 Estudillo Ave, San Leandro, CA 94577-4717 | 2016-06-13 |
| 1457715997 | Noemi Gomez | Behavioral Analyst | 333 Estudillo Ave, Suite 204, San Leandro, CA 94577-4717 | 2016-04-11 |
| 1972785996 | Vincent Lemmuel Baldwin | General Practice | 333 Estudillo Ave, Suite 103, San Leandro, CA 94577-4717 | 2007-11-30 |
| 1306040571 | Monica Michelle Brown | Marriage & Family Therapist | 333 Estudillo Ave, Suite A, San Leandro, CA 94577-4717 | 2007-06-12 |
| 1316149404 | Margaret Jones | Psychologist | 333 Estudillo Ave, Suite 201, San Leandro, CA 94577-4717 | 2007-06-01 |
| 1174730618 | Gregory Richard Larson | Psychologist | 333 Estudillo Ave, #207, San Leandro, CA 94577-4717 | 2007-05-16 |
| 1750501821 | Elizabeth Villafuerte Jones | Marriage & Family Therapist | 333 Estudillo Ave, Suite 207, San Leandro, CA 94577 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| 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 |
|---|---|---|---|---|
| 1245708148 | Alexis Andrea Mcbride | Behavioral Analyst | 16810 Robey Dr, San Leandro, CA 94578-1513 | 2018-11-08 |
| 1235606484 | Tyler Tookes | Behavioral Analyst | 1465 165th Ave Apt 203, San Leandro, CA 94578-3140 | 2018-10-25 |
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1073094215 | Jennyrose Diane Largo | Behavioral Analyst | 594 Broadmoor Blvd, San Leandro, CA 94577-1950 | 2018-08-26 |
| 1508352246 | Bronson Mach | Behavioral Analyst | 15903 Olivia Ct, San Leandro, CA 94578-2451 | 2018-07-05 |
| 1992290092 | Jenny Jimenez | Behavioral Analyst | 3467 Monogram Rd, San Leandro, CA 94577-3258 | 2018-06-30 |
| 1659872562 | Claudia Diep | Behavioral Analyst | 2252 Regatta Ct, San Leandro, CA 94579-2708 | 2018-02-26 |
| 1043727381 | Omar Massoud | Behavioral Analyst | 380 W Joaquin Ave Apt 8, San Leandro, CA 94577-3637 | 2018-01-09 |
| 1972019230 | Lynn Young Cho | Behavioral Analyst | 477 Callan Ave # 101, San Leandro, CA 94577-4607 | 2017-12-22 |
| 1962866160 | Florentina Gucho | Behavioral Analyst | 333 Estudillo Ave Ste 204, San Leandro, CA 94577-4717 | 2016-04-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
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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.