STEPHANIE ILSE CAMACHO (NPI# 1154809929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154809929 |
| Entity Type | Individual |
| Full Name | STEPHANIE ILSE CAMACHO |
| Practice Address |
14895 E 14th St San Leandro CA 94578-2922 |
| Mailing Address |
33550 11th St Union City CA 94587-2344 |
| Practice Telephone | 5103467100 |
| Mailing Telephone | 5108616730 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| 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 |
|---|---|---|---|---|
| 1497005169 | Stephanie Camacho | Counselor | 1390 S Douglas Blvd, Midwest City, OK 73130-5270 | 2012-09-10 |
| 1184999492 | Stephanie Nora Camacho | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2012-03-20 |
| Street Address |
14895 E 14TH ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720287352 | Western Dental Services, Inc. | Dentist | 14895 E 14th St, Suite #100, San Leandro, CA 94578-2922 | 2007-07-13 |
| 1598312209 | Roma Sharma | Dentist | 14895 E 14th St, San Leandro, CA 94578-2922 | 2019-08-19 |
| 1912482951 | Patricia Aline Burgess | Behavior Technician | 14895 E 14th St, San Leandro, CA 94578-2922 | 2018-09-25 |
| 1164904405 | Ji Young Choi | Dentist | 14895 E 14th St, San Leandro, CA 94578-2922 | 2018-09-04 |
| 1760973838 | Jessica Annette Garcia | Behavioral Analyst | 14895 E 14th St, San Leandro, CA 94578-2922 | 2018-05-24 |
| 1144711136 | Leticia Paredes | Behavior Technician | 14895 E 14th St, San Leandro, CA 94578-2922 | 2018-05-24 |
| 1669974226 | Nung Meuy Saechao | Behavioral Analyst | 14895 E 14th St, San Leandro, CA 94578-2922 | 2018-02-28 |
| 1912442195 | Ashley Ferguson | Assistant Behavior Analyst | 14895 E 14th St, St#465, San Leandro, CA 94578-2922 | 2016-12-27 |
| 1811446446 | Michael Ani | Behavioral Analyst | 14895 E 14th St, 465, San Leandro, CA 94578-2922 | 2016-09-23 |
| 1609320910 | Trisha Yen Chau | Behavioral Analyst | 14895 E 14th St, San Leandro, CA 94578-2922 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1851991830 | Adrienne D Stovall | Behavior Technician | 2600 San Leandro Blvd Apt 116, San Leandro, CA 94578-5006 | 2020-10-28 |
| 1700486941 | Monica Garcia | Behavior Technician | 846 Alice Ave, San Leandro, CA 94577-2018 | 2020-10-27 |
| 1285232389 | Gavriel Loeb | Behavior Technician | 561 W Merle Ct, San Leandro, CA 94577-2040 | 2020-10-12 |
| 1831797927 | Juan Herrera | Behavior Technician | 15053 Endicott St, San Leandro, CA 94579-1709 | 2020-10-12 |
| 1902413487 | Angelica Koskov | Behavior Technician | 16736 Cowell St, San Leandro, CA 94578-1254 | 2020-09-28 |
| 1780209593 | Nancy Elizabeth Rodas De Leon | Behavior Technician | 477 Callan Ave, San Leandro, CA 94577-4607 | 2020-06-08 |
| 1346872975 | Denise Alejandre | Behavior Technician | 477 Callan Ave Ste 101, San Leandro, CA 94577-4607 | 2020-02-11 |
| 1588204549 | Kayla Anjahli Valencia | Behavior Technician | 927 Castro St, San Leandro, CA 94577-3433 | 2020-01-08 |
| 1740829191 | Kiara Jaliyah Eastman | Behavior Technician | 867 Coburn Ct Apt D, San Leandro, CA 94578-3228 | 2020-01-02 |
| 1629615067 | Lana Lei Vestil | Behavior Technician | 938 Billings Blvd, San Leandro, CA 94577-1320 | 2019-12-04 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.