JESSICA LARA (NPI# 1184222648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184222648 |
| Entity Type | Individual |
| Full Name | JESSICA LARA |
| Practice Address |
3255 Old Conejo Rd Thousand Oaks CA 91320-2153 |
| Mailing Address |
18726 S Western Ave Ste 408 Gardena CA 90248-3858 |
| Practice Telephone | 8052549249 |
| Practice Fax Number | 8555682494 |
| Mailing Telephone | 3108560800 |
| Mailing Fax Number | 8555682494 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| 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 |
|---|---|---|---|---|
| 1720550874 | Jessica Lara | Counselor | 22519 Garzota Dr, Santa Clarita, CA 91350-2247 | 2018-12-28 |
| 1083269138 | Jessica Lara | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2019-08-06 |
| 1992174965 | Jessica April Lara | Psychologist | 2200 Tydd St, Eureka, CA 95501 | 2015-09-21 |
| 1063843522 | Jessica Lara | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2013-12-10 |
| 1750717880 | Jessica Lara | Rehabilitation Counselor | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2013-09-20 |
| 1184057473 | Jessica Lynn Lara | Physician Assistant | 2861 W 120th Ave, Westminster, CO 80234-2987 | 2013-08-10 |
| Street Address |
3255 OLD CONEJO RD |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91320-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275195448 | Cynthia Ann Chaffee | Behavioral Analyst | 3255 Old Conejo Rd, Thousand Oaks, CA 91320-2153 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| 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 |
|---|---|---|---|---|
| 1114524964 | Coraima Enriquez | Behavior Technician | 2754 Velarde Dr, Thousand Oaks, CA 91360-1339 | 2020-10-05 |
| 1467061069 | Tucker Seifert | Behavior Technician | 2625 Townsgate Rd Ste 102, Thousand Oaks, CA 91361-5751 | 2020-07-29 |
| 1275156804 | Carolina Denys Robles | Behavior Technician | 2625 Townsgate Rd # 102, Thousand Oaks, CA 91361-5751 | 2020-05-18 |
| 1902429541 | Rebecca Nunez | Behavior Technician | 2460 Vista Wood Cir Apt 25, Thousand Oaks, CA 91362-5729 | 2020-05-18 |
| 1477042323 | Monica Xitlalli Hurtado | Behavior Technician | 3207 Gold Hill Cir, Thousand Oaks, CA 91360-1208 | 2018-05-07 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1609474154 | Yanelie Rodriguez | Behavior Technician | 3255 Old Conejo Rd Ste 202, Thousand Oaks, CA 91320-2153 | 2020-10-15 |
| 1467050914 | Mallory Chandler | Behavior Technician | 3255 Old Conejo Rd Ste 202, Thousand Oaks, CA 91320-2153 | 2020-10-15 |
| 1184221764 | Sarah Ruiz | Behavior Technician | 2754 Velarde Dr, Thousand Oaks, CA 91360-1339 | 2020-10-06 |
| 1851908255 | Amelia Coscarelli | Behavior Technician | 509 Marin St Ste 135, Thousand Oaks, CA 91360-7897 | 2020-09-29 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91320 |
Please comment or provide details below to improve the information on JESSICA LARA.
| 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.