VICTORIA KING (NPI# 1619479102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619479102 |
| Entity Type | Individual |
| Full Name | VICTORIA KING |
| Practice Address |
1335 N. Dutton Ave. Santa Rosa CA 95401 |
| Mailing Address |
16782 Von Karman Ave. Suite 11 Irvine CA 92606 |
| Practice Telephone | 8552237123 |
| Practice Fax Number | 6193747134 |
| Mailing Telephone | 8552237123 |
| Mailing Fax Number | 6193747134 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259257 | Victoria Nicole King | Speech-Language Pathologist | 11750 Mount Vernon Ave Apt 283, Grand Terrace, CA 92313-8266 | 2020-09-09 |
| 1306140686 | Victoria Temitope King | Behavioral Analyst | 5805 Tulip St, Philadelphia, PA 19135-4207 | 2010-12-31 |
| 1184858227 | Victoria Jeneke King | Marriage & Family Therapist | 333 Estudillo Ave Ste 206, San Leandro, CA 94577-4717 | 2009-05-04 |
| 1558374926 | Victoria Van Beuren King | Otolaryngology | 113 Latigo Ln, Canon City, CO 81212-8114 | 2006-08-15 |
| 1801407135 | Victoria Diane King | Physical Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2020-08-11 |
| 1588280838 | Victoria King | Speech-Language Pathologist | 721 Metropolitan Ave Ste C, Leavenworth, KS 66048-1403 | 2020-06-23 |
| 1639643257 | Victoria King | Behavioral Analyst | 7318 W Post Rd Ste 208, Las Vegas, NV 89113-6646 | 2019-01-16 |
| 1336621192 | Victoria Cathrina King | Speech-Language Pathologist | 3505 E Royalton Rd Ste 221, Broadview Heights, OH 44147-2998 | 2018-08-29 |
| 1396139309 | Victoria King | Massage Therapist | 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | 2015-03-27 |
| 1972810687 | Victoria C N King | Speech-Language Pathologist | 8403 57th Ave, Elmhurst, NY 11373-4833 | 2010-09-02 |
| Street Address |
1335 N. DUTTON AVE. |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401 |
| 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 |
| 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 |
| 1568856169 | M. Patricia Graef | Marriage & Family Therapist | 360 Tesconi Cir Ste C, Santa Rosa, CA 95401 | 2015-03-23 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on VICTORIA KING.
| 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.