DEANDRA GUTIERREZ (NPI# 1275034910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275034910 |
| Entity Type | Individual |
| Full Name | DEANDRA GUTIERREZ |
| Practice Address |
75 Park Creek Dr Clovis CA 93611-4432 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5594609090 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| Street Address |
75 PARK CREEK DR |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061743 | Deserae Olvera Jimenez | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-01-23 |
| 1649813098 | Ociris V Moreno | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-10-17 |
| 1770143828 | Isabella Paige Yengst | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-06-19 |
| 1992363790 | Daniel Ryan Weaver | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-06-05 |
| 1194288969 | Jazmyn Benton | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-04-09 |
| 1255891487 | Alyson Toole | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611 | 2019-03-22 |
| 1831679265 | Aphrodite Josephine Gates I | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-08-15 |
| 1881173144 | Natalie Griego | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-08-08 |
| 1932601713 | Sergio Segura | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-03-07 |
| 1063913424 | Linda Torres | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498813 | Marjorie Nanell Dacquisto | Behavioral Analyst | 1420 Shaw Ave Ste 105, Clovis, CA 93611-4072 | 2020-08-19 |
| 1225501299 | Miguel Angel Vieyra | Behavioral Analyst | 2627 Ashlan Ave Apt 102, Clovis, CA 93611-3972 | 2019-01-02 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| 1467603662 | Michael Keith Moseley | Behavioral Analyst | 73 N Willow Ave, Clovis, CA 93612-0154 | 2008-10-06 |
| 1942808613 | Alexis Breanna Zepeda | Behavioral Analyst | 1420 Shaw Ave Ste 105, Clovis, CA 93611-4072 | 2020-10-14 |
| 1568096402 | Danielle Cassie Buchan | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2020-03-01 |
| 1013549591 | Shelby Correia Correia | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2020-02-12 |
| 1679123855 | Kimberly Jade Norrid | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2019-09-18 |
| 1861040339 | Marissa Paige Patterson | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2019-08-28 |
| 1407402829 | Bianca Cortez | Behavioral Analyst | 20 N Dewitt Ave, Clovis, CA 93612-0311 | 2019-08-12 |
| Find all providers in CLOVIS | ||||
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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.