CHRISTIAN CRUZ MENDOZA (NPI# 1578177879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578177879 |
| Entity Type | Individual |
| Full Name | CHRISTIAN CRUZ MENDOZA |
| Practice Address |
215 S Hurstbourne Pkwy Ste 213 Louisville KY 40222-4937 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 5023532074 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-97046 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341776 | Christian Jesus Mendoza | Dentist | 710 N Beaver St Bldg 2, Flagstaff, AZ 86001-3145 | 2020-06-19 |
| 1003096637 | Christian H. Mendoza | Chiropractor | 349 S La Fayette Park Pl, Apt 104, Los Angeles, CA 90057-1684 | 2007-11-12 |
| 1093362279 | Christian Rene Mendoza | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2019-08-21 |
| 1255796108 | Christian Gabriel Mendoza | Nurse Anesthetist, Certified Registered | 1700 Mount Vernon Ave, Bakersfield, CA 93306 | 2015-12-18 |
| 1871824128 | Christian Mendoza | Clinic/Center | 7201 Nw 12th St, Miami, FL 33126-1908 | 2010-01-27 |
| Street Address |
215 S HURSTBOURNE PKWY STE 213 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1023617768 | Lauren Ashley Johnson | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-10-23 |
| 1437758232 | Karissa Margaret Clark | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-10-22 |
| 1417556226 | Abriana Olisis Page | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-10-22 |
| 1689273492 | Macey Noel Schmidt | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-10-22 |
| 1699382135 | Hallie Jo Gregory | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-09-29 |
| 1821605957 | Alexandria Marie Goode | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-09-23 |
| 1710594841 | Robert Chase Coomer | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-09-23 |
| 1629685755 | Rachel Danielle Goodwin | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-09-23 |
| 1609483734 | Cassandra Sue Rhodes | Behavior Technician | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| 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 |
|---|---|---|---|---|
| 1710504063 | Alyssa Jones | Behavior Technician | 2831 S Hurstbourne Pkwy Ste A, Louisville, KY 40220-4112 | 2020-07-02 |
| 1255958013 | Lauren Ashley Jenkins-payne | Behavior Technician | 279 S Taft Ct # 10east, Louisville, CO 80027-9515 | 2020-06-28 |
| 1285269043 | Davon Dejoun Adams | Behavior Technician | 3712 Georgetown Cir Apt 3, Louisville, KY 40215-1635 | 2020-03-11 |
| 1114557006 | Rachael Bland | Behavior Technician | 215 S Hurstbourne Pkwy Ste 150, Louisville, KY 40222-4937 | 2020-01-21 |
| 1467019679 | Pratique Gupta | Behavior Technician | 1169 Eastern Pkwy # G111, Louisville, KY 40217-1417 | 2019-05-22 |
| 1598228991 | Chelcie Payne | Behavior Technician | 1169 Eastern Pkwy Ste 1800, Louisville, KY 40217-1417 | 2019-04-11 |
| 1871067652 | Marvea Johnson | Behavior Technician | 5305 Craigs Creek Dr, Louisville, KY 40241-4842 | 2019-01-15 |
| 1831683283 | Tierra Brown | Behavior Technician | 1169 Eastern Pkwy Ste 11111169, Louisville, KY 40217-1417 | 2018-06-19 |
| 1477058857 | Christopher Matthew Richardson | Behavior Technician | 1169 Eastern Pkwy Ste G1111, Louisville, KY 40217-1462 | 2018-03-27 |
| 1750897898 | David Haydon Newton | Behavior Technician | 5225 Oldshire Rd, Louisville, KY 40229-5218 | 2017-12-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
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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.