ALYSSA BUSH (NPI# 1376192021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376192021 |
| Entity Type | Individual |
| Full Name | ALYSSA BUSH |
| Practice Address |
2800 Stonecreek Dr Sacramento CA 95833-1634 |
| Mailing Address |
9755 Lincoln Village Dr Sacramento CA 95827-3334 |
| Practice Telephone | 9163636103 |
| Practice Fax Number | 9162440594 |
| Mailing Telephone | 9169955518 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9755 Lincoln Village Dr, Sacramento, CA 958273334 | 9169955518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398905 | Alyssa Bush | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2019-07-23 |
| 1497263560 | Alyssa Bush | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2018-01-11 |
| 1598009367 | Alyssa W Bush | Social Worker | 1400 Whitney Ave, Hamden, CT 06517-2459 | 2012-11-19 |
| 1851512081 | Alyssa Marie Bush | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2007-05-02 |
| Street Address |
2800 STONECREEK DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95833-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770071466 | Brandy Brown | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2018-04-27 |
| 1821620931 | Taylor Dials | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2020-02-06 |
| 1710527221 | Savannah Baker | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2020-01-13 |
| 1386290914 | Ariaha Nielsen-thompson | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2019-08-09 |
| 1740848183 | Alix Bryant | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2019-05-31 |
| 1003474446 | Starla Thompson | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2019-05-31 |
| 1336618131 | Jacqueline Rios | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2018-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| 1508385949 | Victoria Gabriella Lobatos | Behavioral Analyst | 2915 Azevedo Dr, Sacramento, CA 95833 | 2017-09-18 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1487177689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 West El Camino Ave, Sacramento, CA 95833 | 2017-07-19 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1194170563 | Tia Lorraine Johnson | Behavioral Analyst | 1416 Brewerton Dr #306, Sacramento, CA 95833 | 2016-05-04 |
| 1053751081 | Kelley Davenport | Behavioral Analyst | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833 | 2013-07-05 |
| 1194075671 | Jennifer Lynn Reddy | Pharmacist | 2200 River Plaza Drive, Sacramento, CA 95833 | 2012-09-12 |
| 1851693295 | Ponce De Leon Dental | Dentist | 1589 W. El Camino Ave., Ste. 108, Sacramento, CA 95833 | 2010-11-17 |
| Find all providers in zip 95833 | ||||
| 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 |
|---|---|---|---|---|
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| 1366041105 | Brooke Doutherd | Behavior Technician | 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 | 2020-10-22 |
| 1740889633 | Catherine Andrade | Behavior Technician | 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 | 2020-10-21 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1609473156 | Joshua A Soto | Behavior Technician | 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 | 2020-10-07 |
| 1184231714 | Nancy Vue | Behavior Technician | 276 Olmstead Dr, Sacramento, CA 95838-4742 | 2020-09-28 |
| 1609482090 | Javonte Wills | Behavior Technician | 511 9th St Apt 2, Sacramento, CA 95814-1340 | 2020-09-21 |
| 1861006850 | Ayanna Enzy Johnson | Behavior Technician | 1400 Brewerton Dr, Sacramento, CA 95833-1981 | 2020-09-07 |
| 1740894138 | Esmeralda Rodriguez | Behavior Technician | 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 | 2020-09-02 |
| 1881207413 | Angela Santana | Behavior Technician | 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 | 2020-08-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95833 |
Please comment or provide details below to improve the information on ALYSSA BUSH.
| 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.