JACOB BAXTER (NPI# 1518567171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518567171 |
| Entity Type | Individual |
| Full Name | JACOB BAXTER |
| Practice Address |
5168 N Blythe Ave Ste 102 Fresno CA 93722-6478 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5592555900 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871098178 | Jacob Xavier Baxter | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-28 |
| Street Address |
5168 N BLYTHE AVE STE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-6478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561717 | Saul Marcos Herrera | Behavior Technician | 5168 N Blythe Ave Ste 102, Fresno, CA 93722-6478 | 2020-02-24 |
| 1760016570 | Eloy Valentino Gonzalez | Behavior Technician | 5168 N Blythe Ave Ste 102, Fresno, CA 93722-6478 | 2020-03-02 |
| 1700410776 | Anna Marie Grant | Behavior Technician | 5168 N Blythe Ave Ste 102, Fresno, CA 93722-6478 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1730743808 | Talk Aba, Inc | Assistant Behavior Analyst | 1752 E Bullard #101, Fresno, CA 93710-5864 | 2019-04-24 |
| 1831685817 | Ashley Nicole Maxfield | Assistant Behavior Analyst | 4160 N Valentine Ave Apt 102, Fresno, CA 93722-4161 | 2018-07-02 |
| 1659881886 | Angelina Duarte | Assistant Behavior Analyst | 1690 W Shaw Ave Ste 102, Fresno, CA 93711-3518 | 2017-10-02 |
| 1760007231 | Norma A Nunez | Assistant Behavior Analyst | 1401 Fulton St Ste 200, Fresno, CA 93721-1646 | 2020-06-10 |
| 1336762210 | Matthew W Bonnet | Assistant Behavior Analyst | 1401 Fulton St Ste 200, Fresno, CA 93721-1646 | 2020-05-26 |
| 1699397588 | Jose Guadalupe Robles | Assistant Behavior Analyst | 1401 Fulton St Ste 200, Fresno, CA 93721-1646 | 2020-05-13 |
| 1275189656 | Carmela Sanchez | Assistant Behavior Analyst | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2019-08-12 |
| 1912466178 | Roxana Jeanette Cardenas | Assistant Behavior Analyst | 1320 E Shaw Ave Ste 110, Fresno, CA 93710-7905 | 2019-03-18 |
| 1326524349 | Cassandra Charles | Assistant Behavior Analyst | 5140 N Fruit Ave, Fresno, CA 93711-3022 | 2018-07-12 |
| 1679076681 | Ka Thao | Assistant Behavior Analyst | 2505 W Shaw Ave Ste 2, Fresno, CA 93711-3334 | 2018-03-15 |
| Find all providers in FRESNO | ||||
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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.