GWEN STEPHENS (NPI# 1578074852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578074852 |
| Entity Type | Individual |
| Full Name | GWEN STEPHENS |
| Credential | MA |
| Practice Address |
4030 Moorpark Ave Ste 105 San Jose CA 95117-1848 |
| Mailing Address |
18726 S Western Ave Ste 408 Gardena CA 90248-3858 |
| Practice Telephone | 6694445980 |
| Practice Fax Number | 8555682494 |
| Mailing Telephone | 3108560800 |
| Mailing Fax Number | 8555682494 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| THE HOLMAN GROUP | 45-3589857 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578828794 | Gwen Elizabeth Stephens | Nurse Anesthetist, Certified Registered | 2039 Kimberwicke Cir, Oviedo, FL 32765-7577 | 2012-07-13 |
| Street Address |
4030 MOORPARK AVE STE 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958342 | Taylor Slaughterbeck | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-09-24 |
| 1235746215 | Oanh Nguyen | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-09-24 |
| 1780291765 | Adriana Mendez | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-09-24 |
| 1730796731 | Ha Young So | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-09-24 |
| 1881202224 | Jamie Han | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-07-22 |
| 1952919359 | Michelle Dyslin | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-07-21 |
| 1982212338 | Lilian Anh | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-07-21 |
| 1689299950 | Victoria Lieb | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-06-12 |
| 1063041598 | Mai Tran | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-04-06 |
| 1255960779 | Raymond Pizano | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332049 | B Is for Butterfly | Behavioral Analyst | 1314 Bilbo Ct, San Jose, CA 95121-2402 | 2020-09-24 |
| 1942816673 | Christian Jose Antonio Carrillo | Behavioral Analyst | 2420 Klein Rd, San Jose, CA 95148-1801 | 2020-09-17 |
| 1770193146 | Melissa Leon Sierra | Behavioral Analyst | 2146 Pacina Dr, San Jose, CA 95116-3647 | 2020-07-31 |
| 1215552435 | Jaime Kim | Behavioral Analyst | 1494 Hamilton Ave, San Jose, CA 95125-4535 | 2020-06-12 |
| 1346865979 | Bloom Aba | Behavioral Analyst | 2326 Oak Flat Rd, San Jose, CA 95131-1929 | 2020-06-09 |
| 1760018907 | Vanessa Parker | Behavioral Analyst | 2895 Old Almaden Rd Apt 12, San Jose, CA 95125-4236 | 2020-03-19 |
| 1326673104 | Roque Leon | Behavioral Analyst | 576 S 5th St Apt 18, San Jose, CA 95112-5649 | 2020-03-11 |
| 1881234482 | Silvia Maria Pinto | Behavioral Analyst | 2007 W Hedding St Ste 214, San Jose, CA 95128-1428 | 2020-01-10 |
| 1376182717 | Serena Richardson | Behavioral Analyst | 2007 W Hedding St Ste 201, San Jose, CA 95128-1428 | 2020-01-02 |
| 1205479409 | Jennifer Hunter | Behavioral Analyst | 223 Birch Ridge Cir, San Jose, CA 95123-2655 | 2019-10-21 |
| Find all providers in SAN JOSE | ||||
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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.