MISS BROOKE MARIE PETERMAN (NPI# 1346873528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346873528 |
| Entity Type | Individual |
| Full Name | MISS BROOKE MARIE PETERMAN |
| Credential | BA |
| Practice Address |
1650 Spruce St Ste 250 Riverside CA 92507-7429 |
| Mailing Address |
1475 Elegante Ct Corona CA 92882-8038 |
| Practice Telephone | 9512712275 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1650 SPRUCE ST STE 250 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433897 | Diane Cruz | Community/Behavioral Health | 1650 Spruce St Ste 250, Riverside, CA 92507 | 2017-05-11 |
| 1700485323 | Jenna Vega | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-10-23 |
| 1124635347 | Lizbeth Monserrat Perez Morales | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-10-01 |
| 1033742929 | Bethany Walsh | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-02-19 |
| 1528606670 | Oluwaseyi Adeyinka | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-12-18 |
| 1932742897 | Jordan Zonner | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-23 |
| 1164064465 | Maritza Rodriguez | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-08 |
| 1902447261 | Merielle Domingo | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-07 |
| 1578104246 | Wendy Y Santos | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-03 |
| 1851944201 | Shamanta Johnson | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1588271761 | Luis Enrique Lara | Behavior Technician | 3600 Lime St Ste 612, Riverside, CA 92501-0919 | 2020-09-30 |
| 1336754589 | Deja Maree Jane Stockdale | Behavior Technician | 6221 Heatherwood Dr, Riverside, CA 92509-6163 | 2020-09-14 |
| 1932712411 | Francesca Boria Andrade | Behavior Technician | 4910 Magnolia Ave, Riverside, CA 92506-1266 | 2020-08-25 |
| 1811509078 | Emily Hayden | Behavior Technician | 16719 Minneola Ave, Riverside, CA 92503-6929 | 2020-08-19 |
| 1881205573 | Elisa Mailloux | Behavior Technician | 9393 Hawthorne Ave, Riverside, CA 92503-3862 | 2020-08-14 |
| 1982214359 | Brandi Rae Temple | Behavior Technician | 11662 Inwood Dr, Riverside, CA 92503-5057 | 2020-07-31 |
| 1023636339 | Nathalia Maria Montes | Behavior Technician | 1100 Everton Pl, Riverside, CA 92507-4475 | 2020-07-13 |
| 1982225470 | Kathy Zinzun | Behavior Technician | 8735 Greenpoint Ave, Riverside, CA 92503-1353 | 2020-05-06 |
| 1447884598 | Erica Thompson | Behavior Technician | 2155 Chicago Ave Ste 680, Riverside, CA 92507-2204 | 2020-02-27 |
| 1033742812 | Saeli Morales | Behavior Technician | 635 Highlander Dr, Riverside, CA 92507-3035 | 2020-02-19 |
| Find all providers in RIVERSIDE | ||||
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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.