LIAM REID KRUEGER (NPI# 1316547482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316547482 |
| Entity Type | Individual |
| Full Name | LIAM REID KRUEGER |
| Practice Address |
1880 Fairway Dr San Leandro CA 94577-5629 |
| Practice Telephone | 9167293098 |
| Mailing Telephone | 9167293098 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| 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 |
1880 FAIRWAY DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-5629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790331437 | Maribel Mercado | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2019-08-16 |
| 1669073342 | Leslie Joanna Prieto | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-11-08 |
| 1033724042 | Sirapat Mullins | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-09-15 |
| 1568075745 | Natasha Kiani | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-08-26 |
| 1346852209 | Evan Frater | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-08-20 |
| 1801408141 | Verenise Perez Martinez | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-08-18 |
| 1871102962 | Yadira Jazime Marquez | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-07-24 |
| 1881211035 | Paris Ashley Dahle | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-07-02 |
| 1144847658 | Saul Alex Avila IIi | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-06-30 |
| 1245855444 | Julia Garcia | Behavior Technician | 1880 Fairway Dr, San Leandro, CA 94577-5629 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| 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 |
|---|---|---|---|---|
| 1851991830 | Adrienne D Stovall | Behavior Technician | 2600 San Leandro Blvd Apt 116, San Leandro, CA 94578-5006 | 2020-10-28 |
| 1700486941 | Monica Garcia | Behavior Technician | 846 Alice Ave, San Leandro, CA 94577-2018 | 2020-10-27 |
| 1285232389 | Gavriel Loeb | Behavior Technician | 561 W Merle Ct, San Leandro, CA 94577-2040 | 2020-10-12 |
| 1831797927 | Juan Herrera | Behavior Technician | 15053 Endicott St, San Leandro, CA 94579-1709 | 2020-10-12 |
| 1902413487 | Angelica Koskov | Behavior Technician | 16736 Cowell St, San Leandro, CA 94578-1254 | 2020-09-28 |
| 1780209593 | Nancy Elizabeth Rodas De Leon | Behavior Technician | 477 Callan Ave, San Leandro, CA 94577-4607 | 2020-06-08 |
| 1346872975 | Denise Alejandre | Behavior Technician | 477 Callan Ave Ste 101, San Leandro, CA 94577-4607 | 2020-02-11 |
| 1588204549 | Kayla Anjahli Valencia | Behavior Technician | 927 Castro St, San Leandro, CA 94577-3433 | 2020-01-08 |
| 1740829191 | Kiara Jaliyah Eastman | Behavior Technician | 867 Coburn Ct Apt D, San Leandro, CA 94578-3228 | 2020-01-02 |
| 1629615067 | Lana Lei Vestil | Behavior Technician | 938 Billings Blvd, San Leandro, CA 94577-1320 | 2019-12-04 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
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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.