LUIS HEREDIA (NPI# 1255976304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255976304 |
| Entity Type | Individual |
| Full Name | LUIS HEREDIA |
| Practice Address |
5252 Orange Ave Ste 109 Cypress CA 90630-2967 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6572130199 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| 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 |
5252 ORANGE AVE STE 109 |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467946863 | Angela Hyun Chung | Behavioral Analyst | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2018-06-19 |
| 1063011740 | Michelle Abigail Howell | Behavior Technician | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-10-22 |
| 1144829854 | Maria De La Luz Lopez-lopez | Behavioral Analyst | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-10-22 |
| 1184221442 | Jessica Amber Lee | Behavioral Analyst | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-10-08 |
| 1841806098 | Spenser Thompson | Behavior Technician | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-09-22 |
| 1184230724 | Bella C Pena | Behavioral Analyst | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-09-18 |
| 1700491016 | Ivana Evelin Mendoza Velazco | Behavior Technician | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-09-14 |
| 1477166007 | Leslie A Castillo | Behavior Technician | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-08-24 |
| 1326659442 | Devin Anna Redmond | Behavioral Analyst | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-08-12 |
| 1518584184 | Abbel Gonzalez | Behavior Technician | 5252 Orange Ave Ste 109, Cypress, CA 90630-2967 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| 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 |
|---|---|---|---|---|
| 1376158790 | Hailey Nicole Spears | Behavior Technician | 16712 Huffmeister Rd Unit 500, Cypress, TX 77429-8050 | 2020-09-11 |
| 1730707233 | Jordan D Singletary | Behavior Technician | 16712 Huffmeister Rd, Cypress, TX 77429-8050 | 2020-07-10 |
| 1780220467 | Donna Washington | Behavior Technician | 8118 Fry Rd Ste 103, Cypress, TX 77433-0022 | 2019-11-18 |
| 1952860371 | Andre Austin | Behavior Technician | 12110 Huffmeister, Cypress, TX 77429 | 2019-03-15 |
| 1598224917 | Tania Nguyen | Behavior Technician | 12110 Huffmeister Rd, Cypress, TX 77429 | 2019-03-15 |
| 1467918227 | Maegan Tayler Johnson | Behavior Technician | 18210 Hughlett Dr, Cypress, TX 77433-3128 | 2019-02-18 |
| 1770048662 | Magali Velasco Iglesias | Behavior Technician | 9432 Valley View St Apt D, Cypress, CA 90630-3336 | 2019-02-05 |
| 1003388364 | Kyle Quoc Vu | Behavior Technician | 5252 Orange Ave # 109, Cypress, CA 90630-2967 | 2018-12-27 |
| 1609367630 | Harriet Adesuwa Evbuomwan | Behavior Technician | 9810 Beacon Crossing Ln, Cypress, TX 77433-4001 | 2018-05-24 |
| 1205325230 | Annie Qi | Behavior Technician | 11462 Shippigan Way, Cypress, CA 90630-5478 | 2018-05-04 |
| Find all providers in CYPRESS | ||||
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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.