MARRISSA JANISCH RODRIGUEZ (NPI# 1356951925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356951925 |
| Entity Type | Individual |
| Full Name | MARRISSA JANISCH RODRIGUEZ |
| Practice Address |
255 E Rincon St Ste 219 Corona CA 92879-1387 |
| Practice Telephone | 9518175328 |
| Mailing Telephone | 9518175328 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
255 E RINCON ST STE 219 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043590037 | Pamela Joyce Rodriguez | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2011-08-22 |
| 1104424860 | Melanie Nielson | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-10-14 |
| 1639785892 | Amanda Jayasekara | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-09-22 |
| 1467067397 | Danesha Dawnnea Davis | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-09-08 |
| 1205449816 | Roberto Reyes | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-25 |
| 1598378036 | Bridget Fuentes | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-25 |
| 1003429549 | Sandra Marquez | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-25 |
| 1982217386 | Troy Watkins | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-25 |
| 1003429754 | Shala Lee | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-24 |
| 1427661149 | Nivia Barajas | Behavior Technician | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1700444502 | Benjamin John Creighton | Assistant Behavior Analyst | 1239 Longport Way, Corona, CA 92881-0982 | 2019-06-05 |
| 1154826030 | Brandon Quoc Dinh | Assistant Behavior Analyst | 1000 Via Viento Ln, Corona, CA 92882-3633 | 2018-03-24 |
| 1881205565 | Henry Garcia | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-14 |
| 1740891761 | Crysany Short | Assistant Behavior Analyst | 250 E Rincon St, Corona, CA 92879-1363 | 2020-08-13 |
| 1598376022 | Karly Balvastro | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-10 |
| 1932719572 | Christina Diaz De Leon | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-07 |
| 1710597398 | Angelica Munoz | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-07 |
| 1700496346 | Sheila Brooks | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-07 |
| 1477163913 | Leonor Gaytan-nunez | Assistant Behavior Analyst | 255 E Rincon St Ste 219, Corona, CA 92879-1387 | 2020-08-07 |
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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.