NATHALY MANIVANH (NPI# 1568979771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568979771 |
| Entity Type | Individual |
| Full Name | NATHALY MANIVANH |
| Practice Address |
5601 Arnold Rd Fl 100 Dublin CA 94568-7726 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 2095722589 |
| Mailing Telephone | 2095722589 |
| Mailing Fax Number | 2095721461 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-17-8384 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5601 ARNOLD RD FL 100 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-7726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1285233841 | Paulina Casillas | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-10-23 |
| 1962001545 | Shantanu Deshmane | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-10-23 |
| 1902405699 | Samuel Berris | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-10-22 |
| 1710592753 | Madison Sequeira | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-09-15 |
| 1639784051 | Katrina E Trammel | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-09-11 |
| 1407460306 | Raymond Fernandez | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-09-08 |
| 1902415169 | Jeanette S Manriquez | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-07-23 |
| 1649888983 | Jing Gao | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-07-22 |
| 1679191993 | Michele Falls | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
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| 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 |
|---|---|---|---|---|
| 1447882964 | Christopher Davis | Assistant Behavior Analyst | 4015 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2020-02-12 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1679191993 | Michele Falls | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-07-13 |
| 1871119834 | Kimberly Lindsey | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-06-24 |
| 1710502547 | Stephanie L Magana | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2020-06-08 |
| 1255987889 | Mila Sayfur | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2019-08-09 |
| 1629545686 | Renee Ryan | Assistant Behavior Analyst | 5601 Arnold Rd Fl 102, Dublin, CA 94568-7726 | 2018-10-29 |
| 1255808416 | Alexander Steven Ward | Assistant Behavior Analyst | 5601 Arnold Rd Fl 102, Dublin, CA 94568-7726 | 2018-10-25 |
| 1720553480 | Judith Lamb | Assistant Behavior Analyst | 5601 Arnold Rd Fl 102, Dublin, CA 94568-7726 | 2018-10-09 |
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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.