JASON SANDOVAL (NPI# 1598269862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598269862 |
| Entity Type | Individual |
| Full Name | JASON SANDOVAL |
| Practice Address |
1026 W Abriendo Ave Pueblo CO 81004-1128 |
| Practice Telephone | 7195402155 |
| Mailing Telephone | 7195402155 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| 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 |
1026 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121688 | Angela M O'neal | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-12-19 |
| 1336753698 | Family Support Center of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-03 |
| 1396380994 | Haven Behavioral Outpatient Services of Colorado, LLC | Clinic/Center | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-11-07 |
| 1477026623 | Alfredo Fuccilli Jr. | Behavioral Analyst | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-01-09 |
| 1124522396 | Alexandra Unwin | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1013411297 | Nicole Salazar | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1598138406 | Blessing Okorougo | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-11-02 |
| 1043689425 | Katherine Bassett | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-16 |
| 1134597354 | Christina Guerrero | Registered Nurse | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-03 |
| 1245608462 | Gabrielle Allard | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2015-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
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| 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 |
|---|---|---|---|---|
| 1508354721 | Natalie Catherine Lawrence | Behavior Technician | 2010 E 5th St, Pueblo, CO 81001-3838 | 2018-04-24 |
| 1437757168 | Jane Robinson | Behavior Technician | 401 Broadway Ave, Pueblo, CO 81004-2127 | 2020-10-14 |
| 1740888452 | Troy Michael Root | Behavior Technician | 401 Broadway Ave, Pueblo, CO 81004-2127 | 2020-10-14 |
| 1124522396 | Alexandra Unwin | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1013411297 | Nicole Salazar | Behavior Technician | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2018-03-21 |
| 1841725017 | Rebecca Renee Pilger | Behavior Technician | 41 Montebello Rd Ste Ll2, Pueblo, CO 81001 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700168 | Alisa Lewis | Behavior Technician | 7527 Forest Valley Loop, Colorado Spgs, CO 80908-5647 | 2020-11-04 |
| 1821697384 | Martha Sims | Behavior Technician | 2450 S University Blvd Unit 307, Denver, CO 80210-5490 | 2020-10-25 |
| 1487253274 | Karen Alaine Wallis | Behavior Technician | 2717 S Glencoe St, Denver, CO 80222-6848 | 2020-10-22 |
| 1063010700 | Alyssa Ponsolle | Behavior Technician | 2305 Broadway St Fl 300010, Boulder, CO 80304-4106 | 2020-10-14 |
| 1982202198 | Nathaniel Lee Edison | Behavior Technician | 14548 High St, Thornton, CO 80602-7005 | 2020-10-12 |
| 1780282038 | Ashton Claire Riley Brown | Behavior Technician | 88 Inverness Cir E Bldg H103h104, Englewood, CO 80112-5304 | 2020-10-09 |
| 1699372276 | Cody Evans | Behavior Technician | 215 Maple St Ste A103a109, Florence, CO 81226-1443 | 2020-10-06 |
| 1386241503 | Jessica Blackburn | Behavior Technician | 88 Inverness Cir E Ste Andh104, Englewood, CO 80112-5304 | 2020-10-01 |
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1780290809 | Gillian Ranalls | Behavior Technician | 2121 S Blackhawk St Bldg Ste 101, Aurora, CO 80014-1487 | 2020-09-23 |
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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.