SHAWN ANTHONY PEREZ IV (NPI# 1588296339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588296339 |
| Entity Type | Individual |
| Full Name | SHAWN ANTHONY PEREZ IV |
| Practice Address |
630 Las Colinas Dr Escondido CA 92029-5825 |
| Practice Telephone | 6198868087 |
| Mailing Telephone | 6198868087 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| 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 |
630 LAS COLINAS DR |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| 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 |
|---|---|---|---|---|
| 1861002537 | Gissele Nieto | Behavior Technician | 414 N Juniper St Apt 10, Escondido, CA 92025-2710 | 2020-08-06 |
| 1619526696 | Lizette Gallegos | Behavior Technician | 562 West Grand Avenue, Escondido, CA 92025-2502 | 2019-09-11 |
| 1497312144 | Juan Carlos Carrillo | Behavior Technician | 1143 Gale St, Escondido, CA 92027-1232 | 2019-05-28 |
| 1134685852 | Sarah Kouzi | Behavior Technician | 3058 Hill Valley Dr, Escondido, CA 92029-1522 | 2019-02-18 |
| 1235623471 | Allison Elizabeth Hiatt | Behavior Technician | 1348 Gilmore Pl, Escondido, CA 92026-3608 | 2018-06-20 |
| 1417456039 | Michael James Foster | Behavior Technician | 535 N Beech St Unit 15, Escondido, CA 92025-3282 | 2018-02-09 |
| 1184131112 | Leah Marie Krochmal | Behavior Technician | 10110 Boulder Knolls Dr, Escondido, CA 92026-6626 | 2017-12-28 |
| 1144836529 | Kaitlyn Nicole Mckee | Behavior Technician | 215 S Hickory St Ste 126, Escondido, CA 92025-4360 | 2020-09-21 |
| 1881209666 | Alicia Maria Garza | Behavior Technician | 215 S Hickory St Ste 126, Escondido, CA 92025-4360 | 2020-09-09 |
| 1699393512 | Esmeralda Sanchez | Behavior Technician | 215 S Hickory St Ste 126, Escondido, CA 92025-4360 | 2020-07-07 |
| Find all providers in ESCONDIDO | ||||
Please comment or provide details below to improve the information on SHAWN ANTHONY PEREZ IV.
| 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.