MIGUEL ANGEL PANCARDO (NPI# 1376103846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376103846 |
| Entity Type | Individual |
| Full Name | MIGUEL ANGEL PANCARDO |
| Credential | MASTERS OF SCIENCE |
| Practice Address |
3303 Harbor Blvd Ste B8 Costa Mesa CA 92626-1517 |
| Practice Telephone | 7147866069 |
| Mailing Telephone | 7147866069 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| 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 |
3303 HARBOR BLVD STE B8 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083142848 | Deisy Pulido | Behavioral Analyst | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2017-05-24 |
| 1932700317 | Emmy Phuong Tran | Behavioral Analyst | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-11-03 |
| 1295333441 | Michael Pak | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-10-10 |
| 1235746421 | Silvana Egizii | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-09-30 |
| 1487260741 | Humna Ashraf | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-09-21 |
| 1215541065 | Chau L Cam | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-08-31 |
| 1649883562 | Hilda Hernandez | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-08-29 |
| 1538709464 | Lilibeth Martinez-arteaga | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-01-08 |
| 1013555176 | Julia Nguyen | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2019-12-19 |
| 1851939573 | Todd Skidmore | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1801302054 | Desiree Adrianne Fehmie | Assistant Behavior Analyst | 635 Baker St, Costa Mesa, CA 92626-4413 | 2017-12-26 |
| 1598306839 | Ana Manjarrez | Assistant Behavior Analyst | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2019-10-07 |
| 1831752971 | Monique Andrea Marquez | Assistant Behavior Analyst | 3186 Airway Ave Ste A, Costa Mesa, CA 92626 | 2019-04-15 |
| 1366989121 | Maria De Jesus Arias | Assistant Behavior Analyst | 3303 Harbor Blvd, B8, Costa Mesa, CA 92626-1530 | 2017-01-31 |
| 1043761430 | Viet Anh Nguyen | Assistant Behavior Analyst | 3303 Harbor Blvd Ste B9, Costa Mesa, CA 92626-1517 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on MIGUEL ANGEL PANCARDO.
| 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.