GABRIELLE MARIE PHILLIPS (NPI# 1104471374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104471374 |
| Entity Type | Individual |
| Full Name | GABRIELLE MARIE PHILLIPS |
| Practice Address |
3610 Snell Ave San Jose CA 95136-1305 |
| Practice Telephone | 4086185265 |
| Mailing Telephone | 4086185265 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | F2065408 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3610 Snell Ave, San Jose, CA 951361305 | 4086185265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106878 | Gabrielle Phillips | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1699235499 | Gabrielle J Phillips | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-03-20 |
| 1649515537 | Gabrielle Krystal Phillips | Registered Nurse | 9 Alice St, Garnerville, NY 10923-1206 | 2012-12-03 |
| Street Address |
3610 SNELL AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95136-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1598364010 | Cristina Desouza Vigano | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-10-26 |
| 1306478656 | May Jaber | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-02-05 |
| 1043842412 | Adriana De La Rosa | Behavioral Analyst | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-02-04 |
| 1124658968 | Cory Alexander Young | Behavioral Analyst | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-01-21 |
| 1861032468 | Joanna Seney Figueroa | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-01-10 |
| 1558900910 | Vanessa Abarca | Behavioral Analyst | 3610 Snell Ave, San Jose, CA 95136-1305 | 2020-01-03 |
| 1326687971 | Stacy A Alejo | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-12-30 |
| 1306485149 | Jordan Kai Federico | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-12-26 |
| 1346888187 | Priya Babbar | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709757 | Rahwa Ferzghi | Behavior Technician | 5300 Terner Way Apt 3102, San Jose, CA 95136 | 2018-11-14 |
| 1285110254 | Brittany Lauren Perez | Behavioral Analyst | 4501 Snell Ave Apt 208, San Jose, CA 95136 | 2018-07-12 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1841712221 | Cynthia Castillo | Spec/Tech, Cardiovascular | 4742 Canyon River Court, San Josse, CA 95136 | 2017-07-07 |
| 1841609732 | Elizabeth Mary Myers | Specialist/Technologist | 385 Vista Roma Way #302, San Jose, CA 95136 | 2014-08-05 |
| 1649696717 | David W Chan | Dentist | 1095 Branham Ln., Suite #101, San Jose, CA 95136 | 2014-03-12 |
| 1811323686 | Krystle Wright | Speech-Language Pathologist | 368 Maeve Court, San Jose, CA 95136 | 2013-09-24 |
| 1043598196 | Anh-thu Huynh | Optometrist | 4807 Rue Loiret, San Jose, CA 95136 | 2011-07-22 |
| 1366655201 | Zaidoon R. Owais | Dentist | 511 W. Capitol Expwy, San Jose, CA 95136 | 2007-05-08 |
| 1568674257 | Kelly Thanh Dds, Inc | Dentist | 414b W. Capitol Expwy, San Jose, CA 95136 | 2007-05-04 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1346719143 | Erin Elayne Cervantes | Assistant Behavior Analyst | Reilly Behavioral Group, 1360 North Winchester Avenue, San Jose, CA 95128 | 2018-11-21 |
| 1164991071 | Christopher Michael Vasquez | Assistant Behavior Analyst | 1360 N Winchester Blvd Ste 4, San Jose, CA 95128-1150 | 2018-11-20 |
| 1215411780 | Cassandra Gutierrez | Assistant Behavior Analyst | 475 Delridge Dr, San Jose, CA 95111-1703 | 2018-09-20 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1679023105 | Angela Nicole Simkin | Assistant Behavior Analyst | 3200 Zanker Rd, Unit 1428, San Jose, CA 95134-1943 | 2016-10-07 |
| 1790300564 | Keiko Ushijima-mwesigwa | Assistant Behavior Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2020-06-08 |
| 1205456415 | Sheyna A Moore | Assistant Behavior Analyst | 1360 N Winchester Blvd Ste 5, San Jose, CA 95128-1150 | 2020-04-17 |
| 1992261275 | Angel Estrada | Assistant Behavior Analyst | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-02-12 |
| 1558830497 | Sin Hang Ho | Assistant Behavior Analyst | 1401 Parkmoor Ave Ste 110, San Jose, CA 95126-3453 | 2018-11-21 |
| 1457826240 | Ronald Wayne Woods | Assistant Behavior Analyst | 1101 S Winchester Blvd # N260, San Jose, CA 95128-3901 | 2018-10-08 |
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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.