MISS JORDAN NOEL MITCHELL (NPI# 1124585567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124585567 |
| Entity Type | Individual |
| Full Name | MISS JORDAN NOEL MITCHELL |
| Practice Address |
5363 N Fresno St Ste 105 Fresno CA 93710-6848 |
| Mailing Address |
5820 Stoneridge Mall Rd Ste 205 Pleasanton CA 94588-3347 |
| Practice Telephone | 8774182978 |
| Mailing Telephone | 8774182978 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5363 N Fresno St Ste 105, Fresno, CA 937106848 | 8774182978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263311 | Jordan Alexander Mitchell | Massage Therapist | 3653 Ne John Olsen Ave, Hillsboro, OR 97124-5815 | 2018-01-26 |
| 1891192472 | Jordan Mitchell | Specialist/Technologist | 1003 Meadow Ln, Anderson, SC 29621-1916 | 2014-11-26 |
| 1639788656 | Jordan Patricia Mitchell | Pharmacist | 4201 Meadowdale Blvd, North Chesterfield, VA 23234-5465 | 2020-07-27 |
| 1912552852 | Jordan M Mitchell | Physical Therapist | 4525 S Florida Ave Ste 25, Lakeland, FL 33813-2184 | 2019-08-07 |
| 1063983096 | Jordan Elizabeth Mitchell | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2018-12-17 |
| 1932634961 | Jordan Scott Mitchell | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 350, Houston, TX 77030-3000 | 2017-04-27 |
| 1437691730 | Jordan Isaac Mitchell | Counselor | 1525 Cuba Rd, Mayfield, KY 42066-6809 | 2016-11-17 |
| 1609320126 | Jordan Marie Mitchell | Nurse Practitioner | 529 Broadway Ave S, Buhl, ID 83316-1312 | 2016-08-12 |
| 1386840684 | Jordan Lindsey Mitchell | Obstetrics & Gynecology | 4461 Coit Rd, Suite 211, Frisco, TX 75035-0521 | 2007-06-23 |
| Street Address |
5363 N FRESNO ST STE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710424783 | Kathy Wandler | Behavioral Analyst | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2017-01-27 |
| 1295333581 | Charli Renee Furin | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2020-10-09 |
| 1467064857 | Jessica Marie Stoltenberg | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2020-08-18 |
| 1033730445 | Taylor Rosalie Bartucca | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2020-04-27 |
| 1609496868 | Julia Emily Parsons | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2020-04-17 |
| 1619512084 | Brenda J Vazquez | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-11-08 |
| 1982248340 | Silver Sarah Phonasa | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-10-29 |
| 1346883444 | Kristina Marie Cole | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-10-21 |
| 1891337374 | Bailey Tyler Coe | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-10-16 |
| 1720620669 | Jacob L Lopez | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1568079622 | Thuan Lam | Behavior Technician | 3138 W Dakota Ave Spc 106, Fresno, CA 93722-4979 | 2020-09-23 |
| 1306450671 | Andrea Elise Calvillo-garcia | Behavior Technician | 4423 N Emerson Ave, Fresno, CA 93705-1204 | 2020-09-03 |
| 1467064774 | Bianca Silva | Behavior Technician | 4757 N Woodrow Ave Unit 117, Fresno, CA 93726-1725 | 2020-08-18 |
| 1669083358 | Victoria Marie Sanchez | Behavior Technician | 5755 W Mesa Ave, Fresno, CA 93722-3179 | 2020-08-14 |
| 1205454022 | Mya Renee Nazario | Behavior Technician | 8540 N Sierra Vista Ave, Fresno, CA 93720-3915 | 2020-07-08 |
| 1548886112 | Kassandra Yetiem Cordova Del Valle | Behavior Technician | 3520 E Kerckhoff Ave, Fresno, CA 93702-2710 | 2020-06-19 |
| 1649894593 | Jessica Ybarra | Behavior Technician | 2547 W Shaw Ave Ste 113, Fresno, CA 93711-3321 | 2020-06-05 |
| 1518592153 | Sarvenaz Pahlavan | Behavior Technician | 5168 N Blythe Ave Ste 103, Fresno, CA 93722-6478 | 2020-03-04 |
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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.