STEPHANIE DENISE GOMEZ (NPI# 1447711601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447711601 |
| Entity Type | Individual |
| Full Name | STEPHANIE DENISE GOMEZ |
| Practice Address |
13027 Bermuda Ave Chino CA 91710-4563 |
| Mailing Address |
8780 19th St Unit 398 Alta Loma CA 91701-4608 |
| Practice Telephone | 8886182327 |
| Practice Fax Number | 8889182327 |
| Mailing Telephone | 8886182327 |
| Mailing Fax Number | 8889182327 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090227 | Stephanie Gomez | Technician | 113 Walnut Street, Junior, WV 26275 | 2020-10-16 |
| 1629682109 | Stephanie Jessica Gomez | Social Worker | 8219 Prickly Oak, San Antonio, TX 78223-4596 | 2020-09-02 |
| 1073166484 | Stephanie Alina Gomez | Technician/Technologist | 228 W Hospitality Ln Ste F2, San Bernardino, CA 92408-3268 | 2019-07-24 |
| 1003244310 | Stephanie Gomez | Licensed Psychiatric Technician | 7458 Santa Barbara Dr, Rohnert Park, CA 94928-3840 | 2013-10-23 |
| 1639410046 | Stephanie Gomez | Marriage & Family Therapist | 2020 High St Ste E, Selma, CA 93662-3518 | 2013-03-11 |
| 1699071969 | Stephanie Marie Gomez | Social Worker | 3345 Western Center Blvd Ste 140, Fort Worth, TX 76137-1938 | 2011-02-04 |
| 1215574678 | Stephanie Kristal Gomez | Behavior Technician | 731 Mall Ring Cir Ste 215, Henderson, NV 89014-6691 | 2019-12-04 |
| 1609418235 | Stephanie Gomez | Student in an Organized Health Care Education/Training Program | 3770 W Ina Rd, Tucson, AZ 85741-2093 | 2019-10-15 |
| 1851943526 | Stephanie Gomez | Marriage & Family Therapist | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-07-12 |
| 1538728084 | Stephanie Gomez | Behavioral Analyst | 2500 W Higgins Rd Ste 870, Hoffman Estates, IL 60169-7266 | 2019-06-09 |
| Street Address |
13027 BERMUDA AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| 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 |
|---|---|---|---|---|
| 1063024206 | Sarde Stewart | Behavior Technician | 16250 Homecoming Dr Unit 1199, Chino, CA 91708-8818 | 2020-08-19 |
| 1841810785 | Matthew Jacob Arellano | Behavior Technician | 14562 Rochester Ave, Chino, CA 91710-6970 | 2020-04-21 |
| 1073143954 | Josefina Jaramillio Meza | Behavior Technician | 5268 Washington Ave, Chino, CA 91710-3525 | 2020-01-20 |
| 1083251946 | So Eun Kim | Behavior Technician | 13031 Riverside Way, Chino, CA 91710-2969 | 2019-12-10 |
| 1285295576 | Hugo Garcia | Behavior Technician | 6087 Portsmouth St, Chino, CA 91710-2755 | 2019-06-26 |
| 1487213294 | Bettie L Mckinley | Behavior Technician | 11405 Central Ave Apt L105, Chino, CA 91710-8612 | 2019-06-06 |
| 1497262919 | Clarissa Katherine Martin | Behavior Technician | 16250 Homecoming Dr Unit 1149, Chino, CA 91708-8805 | 2018-01-05 |
| 1962949602 | Cynthia Suarez | Behavior Technician | 12706 17th St, Chino, CA 91710-3613 | 2017-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639057 | Rebecca Quinones | Behavior Technician | 4434 Kennett Ter, Fremont, CA 94536-5735 | 2020-11-06 |
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1568063592 | Katie Nester | Behavior Technician | 1926 Via Centre Dr, Suite B, Vista, CA 92081-6056 | 2020-11-05 |
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.