MYRA VANESSA GRIJALVA (NPI# 1245845080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245845080 |
| Entity Type | Individual |
| Full Name | MYRA VANESSA GRIJALVA |
| Practice Address |
700 University Dr E Ste 106 College Station TX 77840-1848 |
| Mailing Address |
9314 Ryder Rd San Antonio TX 78254 |
| Practice Telephone | 9799859503 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| 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 |
| Street Address |
700 UNIVERSITY DR E STE 106 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780171470 | Kathie Ham | Behavioral Analyst | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2018-04-18 |
| 1174122675 | Payton Hagan | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-10-26 |
| 1033721196 | Allyson Koger | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-08-20 |
| 1720696594 | Charlice Perry | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-17 |
| 1639787526 | Tamra White | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-16 |
| 1801413232 | Kelsea Brantley | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-01 |
| 1821614835 | Donna Scott | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-06-25 |
| 1275159311 | Andreea Hrehorciuc Caragea | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-06-24 |
| 1770106684 | Courtney Miller | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-05-26 |
| 1770106817 | Joel Best | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| 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 |
|---|---|---|---|---|
| 1285197897 | Cayley Huggins | Behavior Technician | 700 University Dr E, College Station, TX 77840-5807 | 2019-04-10 |
| 1902332737 | Shatoya Eshelle Gilliam | Behavior Technician | 555 William D Fitch Pkwy, College Station, TX 77845-6141 | 2017-05-11 |
| 1811597545 | Kennedy Stidham | Behavior Technician | 555 William D Fitch Pkwy, College Station, TX 77845-6141 | 2020-10-30 |
| 1174122675 | Payton Hagan | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-10-26 |
| 1033721196 | Allyson Koger | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-08-20 |
| 1376152769 | Alyssa Renee Diaz | Behavior Technician | 700 University Dr E, College Station, TX 77840-5807 | 2020-07-30 |
| 1720696594 | Charlice Perry | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-17 |
| 1639787526 | Tamra White | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-16 |
| 1609493857 | Maegan Nicole Sosebee | Behavior Technician | 700 University Dr E, College Station, TX 77840-5807 | 2020-07-02 |
| 1801413232 | Kelsea Brantley | Behavior Technician | 700 University Dr E Ste 106, College Station, TX 77840-1848 | 2020-07-01 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.