JACKIE VILLASENOR (NPI# 1346884434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346884434 |
| Entity Type | Individual |
| Full Name | JACKIE VILLASENOR |
| Practice Address |
1210 Central Blvd Ste A Brentwood CA 94513-2379 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 9258096565 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1210 CENTRAL BLVD STE A |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668773 | Shabnam Vossoughi | Technician, Other | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2017-06-08 |
| 1174131692 | Josephine Bautista Rodriguez | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-07-21 |
| 1598373151 | Tidja Marie-renee Parnell | Behavior Technician | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-07-20 |
| 1487280244 | Jersen Bradly Baltazar | Behavior Technician | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-03-12 |
| 1639704349 | Brianna Marie Farber | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-03-03 |
| 1063045078 | Jermishia E Worley | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-02-18 |
| 1427680842 | Adeeb Nazam | Behavior Technician | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-02-05 |
| 1164053245 | Adriana Liseth Hernandez Rivera | Behavior Technician | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-01-28 |
| 1639709280 | Dominique Cooper | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-01-23 |
| 1205466927 | Kyle Sundgren | Behavioral Analyst | 1210 Central Blvd Ste A, Brentwood, CA 94513-2379 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1891325973 | Elizabeth Coronado | Behavioral Analyst | 9005 Overlook Blvd Pmb#637, Brentwood, TN 37027-5269 | 2020-01-17 |
| 1265089445 | Madeline Martinez | Behavioral Analyst | 955 Antelope Ter, Brentwood, CA 94513-1808 | 2019-08-21 |
| 1972167476 | Erica Christine Dale-mason | Behavioral Analyst | 106 Wheatfield Ct, Brentwood, CA 94513-2533 | 2019-04-30 |
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1740787464 | Bethany Grace Robinson | Behavioral Analyst | 181 Sand Creek Rd Ste C-1, Brentwood, CA 94513-2257 | 2018-04-09 |
| 1255836755 | Lakisha Morris | Behavioral Analyst | 181 Sand Creek Rd # C-1, Brentwood, CA 94513-2257 | 2018-03-27 |
| 1275034522 | Monica Eva Longoria | Behavioral Analyst | 671 Piva Ct, Brentwood, CA 94513-6200 | 2018-02-22 |
| 1689187247 | Mobile Therapy Centers of Tennessee, LLC | Behavioral Analyst | 330 Franklin Rd Ste 135a-142, Brentwood, TN 37027-3280 | 2017-11-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| Find all providers in BRENTWOOD | ||||
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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.