MR. MARIO HERNAN TAMAYO JR. (NPI# 1134411721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134411721 |
| Entity Type | Individual |
| Full Name | MR. MARIO HERNAN TAMAYO JR. |
| Credential | BCBA |
| Practice Address |
23502 Lyons Ave. Suite 304a Valencia CA 91321 |
| Mailing Address |
23502 Lyons Avenue Suite 304a Santa Clarita CA 91321 |
| Practice Telephone | 6617020166 |
| Practice Fax Number | 6617020169 |
| Mailing Telephone | 6617020166 |
| Mailing Fax Number | 6617020169 |
| Enumeration Date | 2011-05-14 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-25948 | CO | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 0-06-2126 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BCBA | 1-17-25948 | 01 |
| CA | BCABA | 0-06-2126 | 01 |
| Street Address |
23502 LYONS AVE. SUITE 304A |
| City | VALENCIA |
| State | CA |
| Zip Code | 91321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800390 | Goiaba Group LLC | Behavioral Analyst | 25000 Avenue Stanford Ste 141, Valencia, CA 91355-4594 | 2020-04-23 |
| 1144730722 | Alexa Perrigo | Behavioral Analyst | 27907 Smyth Dr Ste 101, Valencia, CA 91355-4034 | 2017-10-09 |
| 1407394760 | Jennie Long | Behavioral Analyst | 27907 Smyth Dr, Valencia, CA 91355-4034 | 2017-02-07 |
| 1285092494 | Karli Brownell | Behavioral Analyst | 28212 Kelly Johnson Pkwy Ste 200, Valencia, CA 91355-5090 | 2016-02-02 |
| 1881063527 | Raquel Cockrell | Behavioral Analyst | 23025 Magnolia Glen Dr, Valencia, CA 91354-1343 | 2015-09-23 |
| 1619399854 | Rachelle Edgerle | Behavioral Analyst | 28245 Ave Crocker, Ste 220, Valencia, CA 91355 | 2014-01-07 |
| 1104256767 | Emma Fazeli | Behavioral Analyst | 27240 Turnberry Lane, Ste 240, Valencia, CA 91355 | 2013-11-19 |
| 1598199739 | Ricardo Pilar Godina | Behavioral Analyst | 28245 Avenue Crocker Ste 220, Valencia, CA 91355-1201 | 2013-08-23 |
| 1164867230 | Stacy Loeff Daniels | Behavioral Analyst | 27676 Deerfield Ln, Valencia, CA 91354-1613 | 2013-05-02 |
| 1659616894 | Michelle M Heid | Behavioral Analyst | 23924 Arroyo Park Dr, Suite 125, Valencia, CA 91355-3742 | 2012-11-28 |
| Find all providers in VALENCIA | ||||
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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.