MAKAILA FONG (NPI# 1477052561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477052561 |
| Entity Type | Individual |
| Full Name | MAKAILA FONG |
| Practice Address |
1007 Corlett Rd Santa Cruz NM 87567 |
| Mailing Address |
Po Box 2059 Santa Cruz NM 87567-2059 |
| Practice Telephone | 5056928656 |
| Mailing Telephone | 5056928656 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| 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 |
| Street Address |
1007 CORLETT RD |
| City | SANTA CRUZ |
| State | NM |
| Zip Code | 87567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861951261 | John Martinez | Behavioral Analyst | 1327 Camino Real, Santa Cruz, NM 87567 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305544 | Katrina Schickenberg | Speech-Language Pathologist | 715 Emeline Ave, Santa Cruz, CA 95060-1911 | 2020-10-31 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1497352306 | Erin B O'connor-thygeson | Nurse Practitioner | 311 Olaughlin Rd, Santa Cruz, CA 95065-9694 | 2020-10-04 |
| 1154936623 | Magali S Brecke | Acupuncturist | 1040 Mystery Spot Rd, Santa Cruz, CA 95065-9660 | 2020-09-11 |
| 1184238156 | Gianluca Ciulla | Massage Therapist | 417 Cedar St, Santa Cruz, CA 95060-4304 | 2020-09-07 |
| 1013521525 | Kim Ives Hicks | Marriage & Family Therapist | 4550 Arana Creek Way, Santa Cruz, CA 95065-1014 | 2020-09-02 |
| 1023621067 | Adiari Torres | Social Worker | 402 Dakota Ave Apt 8, Santa Cruz, CA 95060-4122 | 2020-08-28 |
| 1659983773 | Nicollette Anne Cubbage | Speech-Language Pathologist | 2042 Bobwhite Ln, Santa Cruz, CA 95065-1853 | 2020-08-19 |
| 1417567090 | Conrad Brian Santos | Massage Therapist | 1099 38th Ave Spc 55, Santa Cruz, CA 95062-4409 | 2020-08-07 |
| 1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
| Find all providers in SANTA CRUZ | ||||
| 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 |
|---|---|---|---|---|
| 1265076772 | Brenda Lara | Behavior Technician | 205 Maple St Apt 2, Santa Cruz, CA 95060-4365 | 2019-10-29 |
| 1376144568 | Angela Villa | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1194326389 | Amber Bothman | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-11-04 |
| 1992304950 | Sierra Donahue | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1760081731 | Nabil Sirur | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-21 |
| 1073112330 | Jeffrey Doezie | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1821697186 | Alex Mosher | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-19 |
| 1093313488 | Dominick Degracia | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-16 |
| 1487251963 | Sara Higgs | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-07 |
| 1891392601 | Mikal Cruz | Behavior Technician | 749 37th Ave, Santa Cruz, CA 95062-5124 | 2020-10-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 87567 |
Please comment or provide details below to improve the information on MAKAILA FONG.
| 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.