ELVINIECKA MYSHAWNDRIA WHITEHEAD (NPI# 1487156071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487156071 |
| Entity Type | Individual |
| Full Name | ELVINIECKA MYSHAWNDRIA WHITEHEAD |
| Practice Address |
9390 Research Blvd Ste 100 Austin TX 78759-6585 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5123309520 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | 00004726 | TX | Behavioral Health & Social Service Providers |
| Y | 106S00000X | Behavior Technician | RBT-18-48025 | TX | Behavioral Health & Social Service Providers |
| Street Address |
9390 RESEARCH BLVD STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-6585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285906438 | Stacey Monique Ramirez | Behavioral Analyst | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2012-02-03 |
| 1023643483 | Elyse Nicole Manzello | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2020-03-06 |
| 1861025827 | Hannah Hundley | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2020-02-19 |
| 1720610074 | Sergio Limas | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2020-02-05 |
| 1982235941 | Cristina M. Barbosa | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2020-01-29 |
| 1417590654 | Samuel Maguire | Behavioral Analyst | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2019-10-21 |
| 1437709185 | Blair Bartholomew | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2019-09-15 |
| 1568011617 | Cristian Vera | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2019-09-10 |
| 1861040842 | Carol Stanley Aaron | Behavioral Analyst | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2019-09-03 |
| 1922666205 | Staci Board | Behavior Technician | 9390 Research Blvd Ste 100, Austin, TX 78759-6585 | 2019-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| 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 |
|---|---|---|---|---|
| 1639777428 | Daymarelis Maceo Vargas | Behavior Technician | 11210 Ranch Road 2222 Apt 10204, Austin, TX 78730-0007 | 2020-10-13 |
| 1942817234 | Victoria Alexis Cruz | Behavior Technician | 6636 W William Cannon Dr Apt 1232, Austin, TX 78735-8547 | 2020-09-30 |
| 1275140030 | Taylor Jane Walden | Behavior Technician | 6611 River Place Blvd Ste 305, Austin, TX 78730-1163 | 2020-09-25 |
| 1710599121 | Ana Oliveros Parra | Behavior Technician | 8517 Fm 1826 Ste 501, Austin, TX 78737-1472 | 2020-08-18 |
| 1629689864 | Chanelle Lynette Storey | Behavior Technician | Farm To Market Road 1826, Austin, TX 78737 | 2020-08-12 |
| 1013526011 | Clara Lorraine Garcia | Behavior Technician | 11028 Jollyville Rd Apt 146, Austin, TX 78759-4825 | 2020-07-24 |
| 1699390062 | Victoria Ratliff | Behavior Technician | 8517 Fm Rd 1826, Austin, TX 78737 | 2020-06-11 |
| 1609402833 | Louise Ng | Behavior Technician | 11718 Metric Blvd Bldg A, Austin, TX 78758-3203 | 2020-03-19 |
| 1336789122 | Training Wheels, Aba, LLC | Behavior Technician | 809 S Lamar Blvd Apt 380, Austin, TX 78704-1572 | 2020-01-09 |
| 1134762198 | Jeff Thurber | Behavior Technician | 100 Congress Ave # 1034, Austin, TX 78701-4072 | 2019-10-22 |
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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.