PALLADIUS CHRISTIAN BYNUM (NPI# 1619449469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619449469 |
| Entity Type | Individual |
| Full Name | PALLADIUS CHRISTIAN BYNUM |
| Practice Address |
1050 Lake Blvd Apt 22 Davis CA 95616-2647 |
| Mailing Address |
6400 Tupelo Dr Citrus Heights CA 95621-1741 |
| Practice Telephone | 9253163013 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1050 LAKE BLVD APT 22 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1477151397 | Aidan Turner | Behavior Technician | 2323 Shasta Dr Apt 25, Davis, CA 95616-6613 | 2020-10-13 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1265067938 | Maia Lee Polis | Behavior Technician | 807 Harrier Pl, Davis, CA 95616-0173 | 2020-03-03 |
| 1871051185 | Julissa Nayeli Vasquez Ramirez | Behavior Technician | 1333 Arlington Blvd Apt 45, Davis, CA 95616-2662 | 2019-03-05 |
| 1144792607 | Elmer E Cruz Rodriguez | Behavior Technician | 2900 Portage Bay W Apt 1211, Davis, CA 95616-2803 | 2018-12-21 |
| 1467936385 | Amanda Alexis Cortez | Behavior Technician | 2109 Bella Casa St, Davis, CA 95616-0715 | 2018-09-17 |
| 1922592211 | Mengxue Sun | Behavior Technician | 955 Cranbrook Ct Apt 203, Davis, CA 95616-1255 | 2018-06-19 |
| 1427551720 | Bang Phan | Behavior Technician | 635 Adams St, Davis, CA 95616-3250 | 2018-03-13 |
| 1669972584 | Elliott Ames | Behavior Technician | 510 Arthur St Apt 215, Davis, CA 95616-3151 | 2018-02-16 |
| 1740788553 | Morgan Lee Jenkins | Behavior Technician | 1947 Galileo Ct, Davis, CA 95618-4882 | 2018-01-26 |
| Find all providers in DAVIS | ||||
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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.