ROMAN EZEKIEL MORENO (NPI# 1215420534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215420534 |
| Entity Type | Individual |
| Full Name | ROMAN EZEKIEL MORENO |
| Practice Address |
21600 Oxnard St Ste G750 Woodland Hills CA 91367-4976 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8183452345 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
21600 OXNARD ST STE G750 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-4976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| 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 |
|---|---|---|---|---|
| 1518582097 | Crystal Brianna Manzo | Behavior Technician | 21600 Oxnard St Ste 1050, Woodland Hills, CA 91367-4976 | 2020-06-10 |
| 1023644416 | Eric Douglas Garner | Behavior Technician | 21600 Oxnard St Ste 150, Woodland Hills, CA 91367-4976 | 2020-03-17 |
| 1790317261 | Michelle L Mailhot | Behavior Technician | Center for Autism 21600 Oxnard 18th Fl, Woodland Hills, CA 91367-9136 | 2020-02-12 |
| 1336795749 | Marranda L Arnold | Behavior Technician | 20259 Ventura Blvd, Woodland Hills, CA 91364-2551 | 2019-08-12 |
| 1225696412 | Kathryn Ann Quintanilla | Behavior Technician | 5629 El Canon Ave, Woodland Hills, CA 91367-4075 | 2019-06-03 |
| 1578129789 | Benjamin Sutter Ehret | Behavior Technician | 21600 Oxnard St # Woodland, Woodland Hills, CA 91367-4976 | 2019-05-13 |
| 1104381565 | Stephanie Jennifer Corcio | Behavior Technician | 21600 Oxnard St Ste 3010, Woodland Hills, CA 91367-4976 | 2019-02-09 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1356806186 | Jayme Cyr | Behavior Technician | 21600 Oxnard St Ste 1600, Woodland Hills, CA 91367-5082 | 2019-02-06 |
| 1609358100 | Tessa Kay Luckini | Behavior Technician | 21600 Oxnard St Ste Woodland, Woodland Hills, CA 91367-4976 | 2018-08-30 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on ROMAN EZEKIEL MORENO.
| 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.