DESERAE OLVERA JIMENEZ (NPI# 1578061743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578061743 |
| Entity Type | Individual |
| Full Name | DESERAE OLVERA JIMENEZ |
| Practice Address |
75 Park Creek Dr Clovis CA 93611-4432 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 5594609090 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| 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 |
| Street Address |
75 PARK CREEK DR |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813098 | Ociris V Moreno | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-10-17 |
| 1770143828 | Isabella Paige Yengst | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-06-19 |
| 1992363790 | Daniel Ryan Weaver | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-06-05 |
| 1194288969 | Jazmyn Benton | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2019-04-09 |
| 1255891487 | Alyson Toole | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611 | 2019-03-22 |
| 1831679265 | Aphrodite Josephine Gates I | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-08-15 |
| 1881173144 | Natalie Griego | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-08-08 |
| 1932601713 | Sergio Segura | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-03-07 |
| 1275034910 | Deandra Gutierrez | Behavioral Analyst | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-02-27 |
| 1063913424 | Linda Torres | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| 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 |
|---|---|---|---|---|
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1356948624 | Tierny C Krasowsky | Behavior Technician | 201 E Llano Estacado Blvd, Clovis, NM 88101-3708 | 2020-10-08 |
| 1306451018 | Stephanie Ann Braun | Behavior Technician | 1945 Backowski Ave, Clovis, CA 93611-6175 | 2020-09-10 |
| 1003427436 | Wenddy Lino | Behavior Technician | 2261 Villa Ave, Clovis, CA 93612-4377 | 2020-08-10 |
| 1124638739 | Samantha Hicks | Behavior Technician | 1124 Helm Ave Apt G, Clovis, CA 93612-1556 | 2020-08-07 |
| 1902431661 | Jonathan Jose Luis Garcia | Behavior Technician | 500 N Reid St, Clovis, NM 88101-7263 | 2020-03-03 |
| 1902438708 | Cora Lynn Hogan | Behavior Technician | 124 Raven Dr, Clovis, NM 88101-2506 | 2020-02-10 |
| 1053942656 | Nicole Renee Arguelles | Behavior Technician | 2917 Lisa Ave, Clovis, NM 88101-3213 | 2020-02-01 |
| 1508496746 | Angelica Daniella Nieto | Behavior Technician | 3205 N Main St Apt 700, Clovis, NM 88101-3586 | 2020-01-15 |
| 1871137430 | Michelle Arias | Behavior Technician | 905 W Manana Blvd, Clovis, NM 88101-3302 | 2019-11-06 |
| Find all providers in CLOVIS | ||||
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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.