LYNDA MARIE WILSON


Address: 1335 N Dutton Ave, Santa Rosa, CA 95401-4609
Phone: 7078882927

LYNDA MARIE WILSON (NPI# 1619436755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619436755
Entity Type Individual
Full Name LYNDA MARIE WILSON
Practice Address 1335 N Dutton Ave
Santa Rosa
CA 95401-4609
Mailing Address 16782 Von Karman Ave Ste 11
Irvine
CA 92606-2417
Practice Telephone 7078882927
Mailing Telephone 9498332237
Enumeration Date 2019-03-18
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers LYNDA WILSON

NPI Name Taxonomy Address Enumeration
1275517864 Lynda Elayne Wilson Nurse Practitioner 113 Colorado Ave, Suite 105, Ames, IA 50014 2005-12-06
1558597112 Lynda Christina Wilson Social Worker 1444 5th Ave, Bay Shore, NY 11706-4147 2009-06-09

Office Location

Street Address 1335 N DUTTON AVE
City SANTA ROSA
State CA
Zip Code 95401-4609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871775494 Stephen Wise Counselor 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2007-12-05
1356983035 John Hughes Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-10-14
1932662277 Antonia Allawatt Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1467915603 Valerie Lopez Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1578026811 Karen Teresa Lorena Castellanos Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1669935805 Catherine Louise Gillespy Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1992268130 Mckinly Rose Yeager Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1568924934 Sarah Calvez Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
1225590698 Madeline Paige Haedt Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
1003378480 Helen Bekeret Haile Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
Find all providers in zip 95401

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396364311 Smrity Singh Burritt Behavior Technician 2133 Fairfax Pl, Santa Rosa, CA 95404-8033 2020-04-09
1194350611 Hannah Teal Behavior Technician 5040 Charmian Dr, Santa Rosa, CA 95409-3538 2020-03-04
1932732971 Mercedes Chanel Johnson Behavior Technician 3 San Luis Pl, Santa Rosa, CA 95409-2806 2020-02-18
1639702160 Leah Gulley Behavior Technician 1929 Contra Costa Ave, Santa Rosa, CA 95405-8104 2020-02-12
1326670704 Jackeline Howard Behavior Technician 560 Dexter St Apt F, Santa Rosa, CA 95404-2403 2020-02-04
1255979670 Anahy Tinoco Lopez Behavior Technician 170 Eddy Dr, Santa Rosa, CA 95407-7852 2019-12-16
1588206528 Erika K Chavez Behavior Technician 526 Kirkwood Ct, Santa Rosa, CA 95407-7074 2019-10-10
1780247999 Amanda Kay Bourke Behavior Technician 703 2nd St Ste 106, Santa Rosa, CA 95404-6505 2019-04-15
1205309473 Jay Vien Marquez Behavior Technician 1335 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4609 2019-01-09
1215400932 Philip Drasny Behavior Technician 4818 School St, Santa Rosa, CA 95409-3535 2019-01-04
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95401

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Dataset Information

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.

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