PRACH PRASERTWIT (NPI# 1235695685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235695685 |
| Entity Type | Individual |
| Full Name | PRACH PRASERTWIT |
| Practice Address |
20259 Ventura Blvd Ste 259a Woodland Hills CA 91364-2551 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7472491127 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| 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 |
| Street Address |
20259 VENTURA BLVD STE 259A |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1205461050 | Denise Morgan Bazaure | Behavior Technician | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2020-03-11 |
| 1700437282 | Michelle Maria Marquez Gallardo | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-09-25 |
| 1699320754 | Cristina Castro | Behavior Technician | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-08-06 |
| 1639735285 | Rebecca Grossfeld | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-05-18 |
| 1023576873 | Diana Laura Munoz | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-03-11 |
| 1619434479 | Juanita Anna Romano | Assistant Behavior Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-02-27 |
| 1093270472 | Rewina Tesfu | Behavior Technician | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-02-09 |
| 1295299584 | Brittnie Reeser | Behavior Technician | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2019-01-30 |
| 1689146235 | Ani Adamyan | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364-2551 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| 1225395551 | Sherry L. Rotchford | Marriage & Family Therapist | 22028 Ventura Blvd., #203, Woodland Hills, CA 91364 | 2012-04-11 |
| Find all providers in zip 91364 | ||||
| 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 | 91364 |
Please comment or provide details below to improve the information on PRACH PRASERTWIT.
| 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.