JORGE GAMBOA (NPI# 1114403334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114403334 |
| Entity Type | Individual |
| Full Name | JORGE GAMBOA |
| Credential | BA |
| Practice Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Mailing Address |
1743 W Beacon Ave Anaheim CA 92804-4514 |
| Practice Telephone | 7145435437 |
| Mailing Telephone | 7145435437 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294148 | Jorge Luis Gamboa | Behavioral Analyst | 255 W Martin Luther King Blvd Unit 1217, Charlotte, NC 28202-1980 | 2017-09-28 |
| 1902322696 | Jorge Gamboa | Rehabilitation Practitioner | 1159 E Alvarado St, Pomona, CA 91767-5139 | 2017-08-15 |
| Street Address |
2130 E 4TH ST STE 200 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048158 | Joel Bradford Marlowe | Marriage & Family Therapist | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2006-09-27 |
| 1851906564 | Adriana Alatorre | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-09-10 |
| 1821602095 | Jenny Perez | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-09-03 |
| 1659982775 | Michelle Luna | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-08-12 |
| 1154931079 | Brenda Joanne Solano | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-08-05 |
| 1851919930 | Anel Parra | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-07-06 |
| 1073137956 | Allison Walhof | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-06-05 |
| 1013540616 | Juan Roberto Valenzuela | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-21 |
| 1467085068 | Olivia Alicia De La Riva | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-21 |
| 1699307827 | Danielle Andrea Miranda | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1346852217 | Zuleyma Calderon | Behavior Technician | 640 N Tustin Ave Ste 101640n, Santa Ana, CA 92705-3731 | 2020-08-20 |
| 1801435011 | Franco Salgado | Behavior Technician | 402 N Gunther Pl, Santa Ana, CA 92703-3333 | 2020-01-06 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1114574597 | Camille Grace Caldwell | Behavior Technician | 505 N Tustin Ave Ste 152, Santa Ana, CA 92705-3735 | 2019-08-21 |
| 1235796194 | Claudia Lorena Jankowski | Behavior Technician | 3700 S Susan St Ste 120, Santa Ana, CA 92704-7935 | 2019-05-24 |
| 1649834342 | Jessica Nicole Lebron | Behavior Technician | 2006 N Bush St Apt B, Santa Ana, CA 92706-2869 | 2019-04-28 |
| 1275092033 | Jennifer Marin | Behavior Technician | 1322 Orange Ave, Santa Ana, CA 92707-1324 | 2019-03-19 |
| 1295294262 | Angela Tran | Behavior Technician | 5207 Rhonda Ave, Santa Ana, CA 92703-2449 | 2019-03-18 |
| 1588123913 | Daniel Castellanos | Behavior Technician | 2706 Huckleberry Rd, Santa Ana, CA 92706-2109 | 2019-03-15 |
| 1922566991 | Jose Najera | Behavior Technician | 614 W Curie Ave, Santa Ana, CA 92707-3920 | 2019-03-07 |
| Find all providers in SANTA ANA | ||||
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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.