MARK CERVANTES (NPI# 1518504190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518504190 |
| Entity Type | Individual |
| Full Name | MARK CERVANTES |
| Practice Address |
10568 Magnolia Ave Ste 102 Anaheim CA 92804-5864 |
| Mailing Address |
2043 San Francisco Ave Long Beach CA 90806-4146 |
| Practice Telephone | 5628894256 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
10568 MAGNOLIA AVE STE 102 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699162933 | Sandra Cossio | Behavioral Analyst | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2015-04-24 |
| 1184222192 | Lilia Orbelina Hurtado | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-10-12 |
| 1871110239 | Edith Gonzalez-g | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-07-01 |
| 1316564354 | Karina Banda | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-06-25 |
| 1609401447 | Oscar Hernandez | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2020-03-11 |
| 1376186007 | Marisela Ochoa | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-10-25 |
| 1851932834 | Maria Guadalupe Mendoza Reyes | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-10-01 |
| 1588124291 | Randy Martinez | Psychologist | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-03-20 |
| 1790243517 | Jessica A Benitez | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-03-11 |
| 1508324815 | Laura Anissia Nastase | Behavior Technician | 10568 Magnolia Ave Ste 102, Anaheim, CA 92804-5864 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1376142489 | Rayleen Reyna | Behavior Technician | 707 S Knott Ave Apt 17, Anaheim, CA 92804-2936 | 2020-10-20 |
| 1578161691 | Alexander Eisemann | Behavior Technician | 1331 E Katella Ave, Anaheim, CA 92805-8611 | 2020-10-12 |
| 1396342747 | Vannesa Zarate | Behavior Technician | 320 N Park Vista St Spc 88, Anaheim, CA 92806-3728 | 2020-10-07 |
| 1932725512 | Martin Dale Mitchell Jr. | Behavior Technician | 925 S Velare St, Anaheim, CA 92804-4012 | 2020-06-19 |
| 1275160301 | Ferdinand Arman Almanzor Maligaya | Behavior Technician | 2209 E La Palma Ave Apt 144, Anaheim, CA 92806-2763 | 2020-03-26 |
| 1649818063 | Ayman Mohamed Mohamed | Behavior Technician | 2130 W Crescent Ave, Anaheim, CA 92801-3802 | 2019-12-16 |
| 1669018362 | Carley Buonarigo | Behavior Technician | 2211 E Orangewood Ave Unit 385, Anaheim, CA 92806-6530 | 2019-11-18 |
| 1477198661 | Maria Luisjuan | Behavior Technician | 1105 N Curtis Ct Apt D, Anaheim, CA 92806-2739 | 2019-11-11 |
| 1184272114 | Djuliya Aghayan | Behavior Technician | 1331 E Katella Ave Unit 223, Anaheim, CA 92805-8604 | 2019-09-03 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
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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.