SAMANTHA MENDOZA (NPI# 1487284105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487284105 |
| Entity Type | Individual |
| Full Name | SAMANTHA MENDOZA |
| Practice Address |
6369 E Tanque Road Suite 100 Tucson AZ 85715 |
| Practice Telephone | 3039898169 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| 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 |
|---|---|---|---|---|
| 1528686011 | Samantha Mendoza | Student in an Organized Health Care Education/Training Program | 715 Valley Vista Rd Apt 2020, Arlington, TX 76006-2121 | 2020-07-10 |
| 1821601683 | Samantha Mendoza | Physical Therapist | 7080 N Maple Ave Ste 101, Fresno, CA 93720-8003 | 2020-08-30 |
| 1972071157 | Samantha Mendoza | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-06 |
| 1346715216 | Samantha Mendoza | Counselor | 2450 S Vine St, Denver, CO 80210-5264 | 2018-10-08 |
| Street Address |
6369 E TANQUE ROAD SUITE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
| 1437758950 | Deja Cocio | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-10-26 |
| 1710585112 | Logan Gomez | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-10-16 |
| 1336747674 | Danee Graic | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-10-09 |
| 1326646662 | Devion English | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-10-09 |
| 1235737578 | Angelina Bracamonte | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-10-09 |
| 1154935211 | Samantha Cole | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-09-04 |
| 1861006926 | Talia Herrera | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-09-04 |
| 1629681085 | Kimberly Soriano | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-08-26 |
| 1538772991 | Liliana Nevarez | Behavior Technician | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
| 1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
| 1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
| 1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
| 1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
| 1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
| 1730492968 | Bahareh Saghafi | Specialist/Technologist | 1200 N. Eldorado Place, Suite A-150, Tucson, AZ 85715 | 2010-07-16 |
| Find all providers in zip 85715 | ||||
| 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 |
|---|---|---|---|---|
| 1942809215 | Kayli Riesgo | Behavior Technician | 5656 E Grant Rd Ste 200, Tucson, AZ 85712-2210 | 2020-10-19 |
| 1205447653 | Anna Josephine Lessner | Behavior Technician | 4050 W Aerie Dr Unit 71, Tucson, AZ 85741-2223 | 2020-08-10 |
| 1932719424 | Allison Marques | Behavior Technician | 11710 E Golf Links Rd, Tucson, AZ 85730-5612 | 2020-08-09 |
| 1992314207 | Michael Kelly Haskins | Behavior Technician | 11485 W Massingale Rd, Tucson, AZ 85743-9404 | 2020-07-23 |
| 1235752080 | Morgan S Turner | Behavior Technician | 1030 N Camino Miramonte Apt 3, Tucson, AZ 85716-4205 | 2020-05-27 |
| 1699398255 | Kristina Marie Kiss | Behavior Technician | 7401 E Speedway Blvd Apt 21204, Tucson, AZ 85710-1594 | 2020-05-18 |
| 1891314811 | Austin Cromer | Behavior Technician | 5701 E Glenn St Apt 93, Tucson, AZ 85712-5223 | 2020-04-09 |
| 1720618721 | Jacqueline Marie Ciufo | Behavior Technician | 1200 N El Dorado Pl Ste 700, Tucson, AZ 85715-4670 | 2020-01-19 |
| 1538718523 | Ken Wagner | Behavior Technician | 5729 S 1st Ave, Tucson, AZ 85706-4408 | 2019-09-11 |
| 1881246767 | Heather Monique Dutton | Behavior Technician | 1 S Church Ave Ste 200, Tucson, AZ 85701-1620 | 2019-07-11 |
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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.