CHUONG PHAM (NPI# 1134623879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134623879 |
| Entity Type | Individual |
| Full Name | CHUONG PHAM |
| Practice Address |
615 W 37th St San Pedro CA 90731-6977 |
| Mailing Address |
4575 Se Dixie Hwy Stuart FL 34997-6826 |
| Practice Telephone | 8558326727 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13950 Milton Ave Ste 200b, Westminster, CA 926832939 | 8328556727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767313 | Chuong Van Pham | Chiropractor | 1916 N Beach St, Haltom City, TX 76111-6703 | 2006-04-03 |
| 1467420992 | Chuong Hoang Pham | Obstetrics & Gynecology | 18220 State Highway 249 Ste 210, Houston, TX 77070 | 2006-03-10 |
| 1962569475 | Chuong Pham | Dentist | 54 Main St, Suite 6, Lakeville, MA 02347-3621 | 2007-01-03 |
| Street Address |
615 W 37TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-6977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740504828 | Yesenia Cano | Behavioral Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2010-03-18 |
| 1356830327 | Adam Ryan Gomez | Behavior Technician | 615 W 37th St, San Pedro, CA 90731-6977 | 2018-05-05 |
| 1356839195 | Nina Quan | Technician, Other | 615 W 37th St, San Pedro, CA 90731-6977 | 2018-04-26 |
| 1285144907 | Maria Romero | Behavioral Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2017-10-08 |
| 1972035947 | Hugo Alvarado | Assistant Behavior Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2017-03-29 |
| 1679017883 | Simone Presley | Behavioral Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2016-12-06 |
| 1346784642 | Jacqueline Lugo | Behavioral Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2016-12-06 |
| 1194119396 | Joshua Glen Okain | Behavioral Analyst | 615 W 37th St, San Pedro, CA 90731-6977 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| 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 |
|---|---|---|---|---|
| 1528618915 | Luis Hernan Pacheco | Behavior Technician | 237 N Meyler St Apt A, San Pedro, CA 90731-1967 | 2019-09-17 |
| 1942702022 | Yolanda Medina I | Behavior Technician | 615 W 37th St # Ca90731, San Pedro, CA 90731-6977 | 2018-03-05 |
| 1356830327 | Adam Ryan Gomez | Behavior Technician | 615 W 37th St, San Pedro, CA 90731-6977 | 2018-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639057 | Rebecca Quinones | Behavior Technician | 4434 Kennett Ter, Fremont, CA 94536-5735 | 2020-11-06 |
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1568063592 | Katie Nester | Behavior Technician | 1926 Via Centre Dr, Suite B, Vista, CA 92081-6056 | 2020-11-05 |
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.