JACQUELINE CARDOZA (NPI# 1104367226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367226 |
| Entity Type | Individual |
| Full Name | JACQUELINE CARDOZA |
| Credential | RBT |
| Practice Address |
1880 Pruneridge Ave Santa Clara CA 95050-6514 |
| Practice Telephone | 6506229601 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1880 PRUNERIDGE AVE |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438383 | Pacific Autism Center for Education | Early Intervention Provider Agency | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2011-03-15 |
| 1033640677 | Caitlynn Peregoy | Behavior Technician | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2017-03-24 |
| 1023559770 | Sebastian Larsson | Behavior Technician | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2017-03-14 |
| 1992246714 | Alicia Perez | Behavior Technician | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2017-03-13 |
| 1902347826 | Sapphire Fein | Behavior Technician | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2017-03-10 |
| 1972044907 | Priscilla Barrios | Behavior Technician | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2017-03-09 |
| 1598173460 | Taylor Peterson | Speech-Language Pathologist | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2014-07-23 |
| 1083026256 | Danielle Borras | Occupational Therapist | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2014-05-22 |
| 1073953758 | Rebecca Bright | Marriage & Family Therapist | 1880 Pruneridge Ave, Santa Clara, CA 95050-6514 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| 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 |
|---|---|---|---|---|
| 1215543491 | Lashanette Jeanean Breazell | Behavior Technician | 50 Washington St Apt 37, Santa Clara, CA 95050-6143 | 2020-09-22 |
| 1104432822 | Kahleah Bynah Dugan | Behavior Technician | 4701 Patrick Henry Dr Bldg 6, Santa Clara, CA 95054-1863 | 2020-09-17 |
| 1093347478 | Yesenia Paredez | Behavior Technician | 2403 Homestead Rd Apt 2, Santa Clara, CA 95050-5563 | 2020-02-04 |
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1992346894 | Samantha Mulhern | Behavior Technician | 1632 Santa Clara St Apt 1, Santa Clara, CA 95050-5496 | 2019-10-01 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1568027985 | Claudia Espinoza Padilla | Behavior Technician | 2334 Walsh Ave, Santa Clara, CA 95051-1342 | 2019-05-01 |
| 1023580677 | Kevin Chen | Behavior Technician | 2334 Walsh Ave Ste D, Santa Clara, CA 95051-1319 | 2018-12-20 |
| 1144700063 | Zoe Phillippa Hurley | Behavior Technician | 3170 De La Cruz Blvd # 105&107, Santa Clara, CA 95054-2436 | 2018-08-20 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
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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.