VANESSA TRUJILLO VERDUZCO (NPI# 1114527066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114527066 |
| Entity Type | Individual |
| Full Name | VANESSA TRUJILLO VERDUZCO |
| Credential | BEHAVIOR TECHNICIAN |
| Practice Address |
1174 Cornucopia St Nw Salem OR 97304-3193 |
| Mailing Address |
11037 Warner Ave # 339 Fountain Valley CA 92708-4007 |
| Practice Telephone | 8002734292 |
| Practice Fax Number | 7145966274 |
| Mailing Telephone | 8002734292 |
| Mailing Fax Number | 7145966274 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693791 | Vanessa Verduzco | Community Health Worker | 1128 W Santa Ana Blvd, Santa Ana, CA 92703-3833 | 2015-03-17 |
| 1205102878 | Vanessa Verduzco | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2012-03-28 |
| Street Address |
1174 CORNUCOPIA ST NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013944016 | Benton John Davidson | Psychiatry & Neurology | 1174 Cornucopia St Nw, Suite 240, Salem, OR 97304-3193 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1184246290 | Jill Casazza | Behavior Technician | 21 Merrill Ave, Salem, NH 03079-2729 | 2020-05-12 |
| 1972135515 | Joseph Coppellotti | Behavior Technician | 12 Cushing St, Salem, MA 01970-1508 | 2020-02-11 |
| 1730723289 | Samantha Muniz-pierzina | Behavior Technician | 2550 Lancaster Dr Ne Apt 43, Salem, OR 97305-1212 | 2019-10-28 |
| 1295384733 | Adedayo M Adenekan | Behavior Technician | 109 Country Club Est, Salem, IL 62881-3631 | 2019-09-07 |
| 1487209706 | Phylleshia Manglona Aquino | Behavior Technician | 4430 Conser Way Ne Apt 201, Salem, OR 97305-4056 | 2019-08-04 |
| 1457904500 | Linda Thomas-drouin | Behavior Technician | 21 Sand Hill Rd Apt 23, Salem, NH 03079-4337 | 2019-07-18 |
| 1750934006 | Ashley L. Hayes | Behavior Technician | 7 Ballard Ln, Salem, NH 03079-2473 | 2019-07-16 |
| 1548820129 | Kiley Elizabeth Sheehan | Behavior Technician | 3790 Auburn Rd Ne, Salem, OR 97301-4763 | 2019-06-17 |
| 1184289001 | Mckenna Dipietro | Behavior Technician | 20 Matthias St, Salem, NH 03079-3205 | 2019-05-06 |
| Find all providers in SALEM | ||||
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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.