CASSIDY JORDAN SMITH (NPI# 1568931095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568931095 |
| Entity Type | Individual |
| Full Name | CASSIDY JORDAN SMITH |
| Practice Address |
1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107 |
| Mailing Address |
5820 Stoneridge Mall Rd Ste 205 Pleasanton CA 94588-3347 |
| Practice Telephone | 8774182978 |
| Mailing Telephone | 8774182978 |
| Mailing Fax Number | 8665002186 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| 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 |
|---|---|---|---|---|
| 1902398977 | Cassidy Smith | Specialist/Technologist | 2958 Kalei Rd, Honolulu, HI 96826-1801 | 2018-06-05 |
| 1083239693 | Cassidy Smith | Technician, Other | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2020-06-09 |
| 1659835619 | Cassidy Smith | Counselor | 495 E Main St, Columbus, OH 43215-5349 | 2019-01-24 |
| 1033686373 | Cassidy Allison Smith | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 | 2018-10-24 |
| 1114493731 | Cassidy Anne Smith | Counselor | 613 Superior Ln, Yakima, WA 98902-1623 | 2018-10-22 |
| 1801318738 | Cassidy Rose Smith | Physician Assistant | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 2017-07-12 |
| 1548610975 | Cassidy Smith | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-06-16 |
| Street Address |
1811 GRAND CANAL BLVD STE 2 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710221817 | Elissa Marie Rehn | Counselor | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2012-11-15 |
| 1386245512 | Joseph Daniel Ramirez | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-11-04 |
| 1043810203 | Marissa Alyse Sadek | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-10-27 |
| 1811597248 | Massiel Garcia | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-10-26 |
| 1346847316 | Liandra Victoria Fleming | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-10-02 |
| 1215534300 | Andre Haymer Jr. | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-10-02 |
| 1689281248 | Daniela Castro Mosqueda | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-09-28 |
| 1699382374 | Kalina Mahal Juanitas | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-09-28 |
| 1447867155 | Suleyma Avila Favoreno | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-09-26 |
| 1881201986 | Cameron Paul Bretz | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
| 1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
| 1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
| 1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
| 1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1053919761 | Corriana Brown | Behavior Technician | 5523 Patti Lynn Way, Stockton, CA 95212-3842 | 2020-10-14 |
| 1366049959 | Maria Estavillo | Behavior Technician | 4305 Julius Ct, Stockton, CA 95207-6531 | 2020-10-06 |
| 1417564634 | Ceidy Burgos | Behavior Technician | 8651 Acapulco Way Apt 2, Stockton, CA 95210-1811 | 2020-09-30 |
| 1982211488 | Willisha Tietiana Bottley | Behavior Technician | 3893 Jacarandas Ct, Stockton, CA 95206-5159 | 2020-09-29 |
| Find all providers in STOCKTON | ||||
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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.