MARIACLARA MANDUJANO (NPI# 1609352483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609352483 |
Entity Type | Individual |
Full Name | MARIACLARA MANDUJANO |
Credential | RBT |
Practice Address |
4530 E Muirwood Dr Ste 103 Phoenix AZ 85048-7693 |
Practice Telephone | 4806106981 |
Practice Fax Number | 4808987419 |
Mailing Telephone | 4806106981 |
Mailing Fax Number | 4808987419 |
Enumeration Date | 2018-07-16 |
Last Update Date | 2018-07-16 |
Gender Code | F |
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 |
4530 E MUIRWOOD DR STE 103 |
City | PHOENIX |
State | AZ |
Zip Code | 85048-7693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720126956 | Beth Carling | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2007-02-01 |
1598363996 | Allison Patrice Megill | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-10-16 |
1003413022 | Sharon Williams | Clinic/Center | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-10-02 |
1619584489 | Deanna Moreno Trujillo | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-09-25 |
1982215265 | Tayler Justine Rietdorf | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-08-11 |
1336758507 | Marleigh Ann Bowers | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-07-23 |
1558986471 | Kimberly Zinn Granoff | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-06-16 |
1023634953 | Daryl A Luigs | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-06-16 |
1194358796 | Zabrina A Espericueta | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-02-21 |
1093348377 | Cynserenai Renee Leon | Behavior Technician | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
Find all providers in zip 85048 |
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] |
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1568001402 | Empowerment Family Care Inc 2 | Behavior Technician | 8729 W Catalina Dr, Phoenix, AZ 85037-3207 | 2019-12-23 |
1063050177 | Fight4life Incorporated | Behavior Technician | 4411 S 40th St, Phoenix, AZ 85040-2950 | 2019-12-19 |
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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.