BRAQUE JOHNSON (NPI# 1609348648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609348648 |
| Entity Type | Individual |
| Full Name | BRAQUE JOHNSON |
| Practice Address |
120 Ascot Dr Roseville CA 95661-3400 |
| Mailing Address |
8434 Walerga Rd Antelope CA 95843-5056 |
| Practice Telephone | 9167871100 |
| Mailing Telephone | 9163355113 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Y2880508 | CA | Behavioral Health & Social Service Providers |
| Street Address |
120 ASCOT DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417014127 | Marsha L. Henry | Dentist | 120 Ascot Dr, Suite A, Roseville, CA 95661-3400 | 2007-01-02 |
| 1104432186 | Stephanie Susanne Merport | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2020-09-16 |
| 1770197469 | Eunice Adelya Gomes | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2020-09-01 |
| 1548884612 | Wendi R Pickrell | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2020-06-03 |
| 1598388803 | Amanda Marie Metzger | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2020-05-20 |
| 1619520103 | Jose Luis Martinez | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2019-07-23 |
| 1275005019 | Eidie Louise Price | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2018-12-18 |
| 1497225668 | Charlotte French | Marriage & Family Therapist | 120 Ascot Dr, Roseville, CA 95661-3400 | 2018-11-30 |
| 1366912925 | Sandra De Almeida Romao | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661 | 2018-11-27 |
| 1427528140 | Katherine M Ishee | Behavior Technician | 120 Ascot Dr, Roseville, CA 95661-3400 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
| 1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
| 1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
| 1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
| 1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
| 1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
| 1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
| 1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
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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.