CRYSTAL CIARA GORDON (NPI# 1528559077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528559077 |
| Entity Type | Individual |
| Full Name | CRYSTAL CIARA GORDON |
| Practice Address |
13950 Milton Ave Ste 220b Westminster CA 92683-2939 |
| Mailing Address |
617 Las Posas Rd Apt 101 Camarillo CA 93010-5719 |
| Practice Telephone | 8558326727 |
| Mailing Telephone | 6196430662 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | CA | Technologists, Technicians & Other Technical Service Providers | |
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069403 | Crystal Miquel Gordon | Specialist | 1990 W 7800 S, West Jordan, UT 84088-4025 | 2013-04-30 |
| 1891091088 | Crystal Jenna Gordon | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2011-02-04 |
| 1982851895 | Crystal D Gordon | Occupational Therapy Assistant | Rr 2 Box 211b, Beecher City, IL 62414-9208 | 2008-08-21 |
| Street Address |
13950 MILTON AVE STE 220B |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694027 | Drakirah L Glenn | Behavior Technician | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2017-12-07 |
| 1093295289 | Ilse Garcia | Behavior Technician | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2018-08-16 |
| 1669967790 | Miranda Janelle Ruiz | Behavior Technician | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2018-07-01 |
| 1700378791 | Jazmani Adams | Behavior Technician | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2018-06-05 |
| 1164926614 | Jacqueline Ramirez | Technician, Other | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2018-03-20 |
| 1316454259 | Alvin Duncan Jr. | Behavior Technician | 13950 Milton Ave Ste 220b, Westminster, CA 92683-2939 | 2017-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| 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 |
|---|---|---|---|---|
| 1982212197 | Brooke Michelle Hensmann | Behavior Technician | 12365 Huron St Ste 1600, Westminster, CO 80234-3496 | 2020-07-14 |
| 1093341034 | Crystal J Stueve | Behavior Technician | 11080 Gray St, Westminster, CO 80020-3210 | 2020-03-22 |
| 1326673831 | Bertha Margarita Cazarez | Behavior Technician | 13950 Milton Ave # 200b, Westminster, CA 92683-2900 | 2020-03-04 |
| 1003448192 | Brooke Kirsten Cheney | Behavior Technician | 10487 Canosa St, Westminster, CO 80234-3551 | 2020-02-07 |
| 1730719667 | Megan Denis | Behavior Technician | 9375 Osceola St, Westminster, CO 80031-6440 | 2020-01-20 |
| 1831757228 | Hannah Vuong | Behavior Technician | 16032 Nelson St, Westminster, CA 92683-7718 | 2019-05-31 |
| 1942768015 | Dorothy Bui | Behavior Technician | 15590 Irene Way, Westminster, CA 92683-7522 | 2019-03-07 |
| 1447724638 | Katie Shields | Behavior Technician | 600 W 123rd Ave Apt 3516, Westminster, CO 80234-1814 | 2019-01-22 |
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
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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.