MS. JUANITA TRAVER STINE (NPI# 1417353954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417353954 |
| Entity Type | Individual |
| Full Name | MS. JUANITA TRAVER STINE |
| Credential | BCBA |
| Practice Address |
1155 Broadway St Ste 218 Redwood City CA 94063-3127 |
| Mailing Address |
1663 Mission St Ste 400 San Francisco CA 94103-2485 |
| Practice Telephone | 8772646747 |
| Practice Fax Number | 8775397730 |
| Mailing Telephone | (877) 264-6747 |
| Mailing Fax Number | 8775397730 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-16408 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1155 BROADWAY ST STE 218 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265710131 | Angela Wu | Behavioral Analyst | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2011-07-26 |
| 1841762424 | Julie Frechette | Behavior Technician | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2018-12-20 |
| 1548799067 | Penny Jones | Behavioral Analyst | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2017-06-08 |
| 1356874002 | Sindy Vilchez | Technician, Other | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2017-04-10 |
| 1013457480 | Elizabeth Grishaw | Behavioral Analyst | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2017-03-03 |
| 1003356478 | Jacquline Zeiller | Behavioral Analyst | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2017-03-03 |
| 1164855920 | Kendra Bell Holmes | Behavioral Analyst | 1155 Broadway St Ste 218, Redwood City, CA 94063-3127 | 2013-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| 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 |
|---|---|---|---|---|
| 1720648371 | Maria Catalina Rodriguez | Behavioral Analyst | 303 Twin Dolphin Dr Ste 600, Redwood City, CA 94065-1422 | 2019-06-17 |
| 1598223380 | Eduardo Zavaleta Reyes | Behavioral Analyst | 2451 Middlefield Rd Apt 4, Redwood City, CA 94063-2842 | 2019-03-11 |
| 1902363955 | Jasmine Mueller-hsia | Behavioral Analyst | 1140 Whipple Ave Apt 26, Redwood City, CA 94062-1421 | 2019-02-26 |
| 1861960957 | Maria Lombera Mendoza | Behavioral Analyst | 3524 Hoover St, Redwood City, CA 94063-4502 | 2018-11-06 |
| 1790252658 | Valeria Alejandra Hernandez | Behavioral Analyst | 1440 Hess Rd Apt 7, Redwood City, CA 94061-6336 | 2018-10-30 |
| 1356847966 | Lisa Rodriguez | Behavioral Analyst | 495 Seaport Ct Ste 102, Redwood City, CA 94063-2785 | 2018-04-03 |
| 1174971501 | Diana Denisse Hernandez Guerrero | Behavioral Analyst | 1903 E Bayshore Rd Spc 7, Redwood City, CA 94063-4135 | 2016-05-26 |
| 1265898175 | Tatiana Villalba | Behavioral Analyst | 1355 Gordon St, Redwood City, CA 94061-2719 | 2016-01-07 |
| 1215393590 | Alejandro Figueroa | Behavioral Analyst | 556 4th Ave, Redwood City, CA 94063-3805 | 2016-01-03 |
| 1417377516 | Carrie Sullivan | Behavioral Analyst | 274 Redwood Shores Pkwy # 639, Redwood City, CA 94065-1173 | 2014-04-16 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.