NICOLE KIRSTY QUISPE


Address: 1111 Baker St, Costa Mesa, CA 92626-4138
Phone: 8552953276

NICOLE KIRSTY QUISPE (NPI# 1154956282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154956282
Entity Type Individual
Full Name NICOLE KIRSTY QUISPE
Practice Address 1111 Baker St
Costa Mesa
CA 92626-4138
Mailing Address 1055 E Colorado Blvd Ste 560
Pasadena
CA 91106-2380
Practice Telephone 8552953276
Practice Fax Number 8182416853
Mailing Telephone 8182416780
Mailing Fax Number 8182416853
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 1111 BAKER ST
City COSTA MESA
State CA
Zip Code 92626-4138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538520283 Brian Le Behavioral Analyst 1111 Baker St, Costa Mesa, CA 92626-4138 2016-03-09
1407456858 Alejandra Rivera Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-10-26
1336753151 Candice Wong Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-08-31
1063032738 Jessica Bunkis Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-04-22
1447886965 Leslye Alaniz Zavaleta Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-16
1356977870 Shivani A Khosla Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-16
1700412228 Peter Cunningham Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-16
1538795059 Hee Jin Song Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-16
1083240501 Melissa Suzanne Dockrey Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-16
1053946186 Lauren Alexis Powell Behavior Technician 1111 Baker St, Costa Mesa, CA 92626-4138 2020-03-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
Find all providers in zip 92626

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1467059337 Rabecca Moreno Behavior Technician 575 W 19th St Apt A105, Costa Mesa, CA 92627-5046 2020-10-05
1083227052 Christopher William Slaughter Behavior Technician 1520 Nutmeg Pl Ste 101, Costa Mesa, CA 92626-2557 2020-08-28
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1215552666 Jaylin Christa Moreno Behavior Technician 555 Anton Blvd # 150, Costa Mesa, CA 92626-7811 2020-06-11
1487275996 Mary Grace Lamons Behavior Technician 1091 Salvador St, Costa Mesa, CA 92626-5540 2020-05-06
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1982247987 Cara Joy Candlish Behavior Technician 1616 Elm Ave, Costa Mesa, CA 92626-4953 2019-10-22
Find all providers in COSTA MESA

Competitor

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City COSTA MESA
Zip Code 92626

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Dataset Information

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.

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