ANGELICA MAE DORN (NPI# 1467085662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467085662 |
| Entity Type | Individual |
| Full Name | ANGELICA MAE DORN |
| Practice Address |
3336 Bradshaw Rd Ste 140 Sacramento CA 95827-2697 |
| Mailing Address |
18726 S Western Ave Ste 408 Gardena CA 90248-3858 |
| Practice Telephone | 9162454133 |
| Practice Fax Number | 8555682494 |
| Mailing Telephone | 3108560800 |
| Mailing Fax Number | 8555682494 |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |
| 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 |
| Street Address |
3336 BRADSHAW RD STE 140 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255729778 | Alison Giannini | Behavioral Analyst | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2015-01-06 |
| 1932716933 | Leslie Molina | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-09-24 |
| 1053940585 | Camille Xiong | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-04-06 |
| 1548899065 | Brianna Silva | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-04-06 |
| 1487282075 | Efigenia Munguia | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-30 |
| 1689201964 | Hanna Jones | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-25 |
| 1811524184 | Nicole Bona | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-25 |
| 1740817030 | Bailey Mckinley | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-25 |
| 1023645306 | Henrick Canas | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-25 |
| 1992331318 | Nicole Hubbard | Behavior Technician | 3336 Bradshaw Rd Ste 140, Sacramento, CA 95827-2697 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| 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 | 95827 |
Please comment or provide details below to improve the information on ANGELICA MAE DORN.
| 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.