EVAN BROOKS WEIDELE


Address: 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434
Phone: 9494741493

EVAN BROOKS WEIDELE (NPI# 1619587557) 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) 1619587557
Entity Type Individual
Full Name EVAN BROOKS WEIDELE
Practice Address 18008 Sky Park Cir Ste 110
Irvine
CA 92614-6434
Practice Telephone 9494741493
Mailing Telephone 9494741493
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 18008 SKY PARK CIR STE 110
City IRVINE
State CA
Zip Code 92614-6434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962608117 Sivan Kochinski Psychologist 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2007-06-25
1144821810 Yasamin Manesh Behavior Technician 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-11-07
1710588538 Denia Portillo Technician, Other 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-11-06
1235730060 Aida Raquel Gonzalez Technician, Other 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-11-06
1740881853 Kenyan Ingram Behavioral Analyst 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-11-04
1750989000 Alexis Hunter Paduano Behavioral Analyst 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-10-09
1578178570 Brianna Ilene Lopez Technician, Other 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-09-15
1558974642 Andrea Margarita Flores Behavior Technician 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-08-28
1326662727 Miranda Leigh Ageson Technician, Other 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-06-01
1366078164 Annika Manliguez Technician, Other 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2020-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396352944 Irvine Surgical Center LLC Clinic/Center 17624 Redhill Ave Ste B, Irvine, CA 92614 2020-09-28
1245843572 Jose Raul Sanchez IIi Behavior Technician 1063 Mcgraw Ave, Irvine, CA 92614 2020-08-26
1548871064 Angelina Renee Armenta Behavior Technician 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 2020-08-10
1083267827 Jd Health LLC Durable Medical Equipment & Medical Supplies 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 2019-07-22
1326609280 Abigail Briana Lozano-flores Behavior Technician 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 2019-06-21
1770085235 Heather M. Ayala Dietitian, Registered 17985 Sky Park Circle Suite A, Irvine, CA 92614 2018-03-01
1598266033 Camille Plumbar Chiropractor 17811 Skypark Circle, Suite E, Irvine, CA 92614 2018-02-21
1952812448 Mary M Ahmadian Nurse Practitioner Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 2017-10-24
1134656804 Reza Abaei Tafreshi Dentist 3 Pazzi, Irvine, CA 92614 2017-05-12
1467991307 Laboratory Medicine Consultants In Diagnostics Medical Genetics 1565 A Mcgaw Ave, Irvine, CA 92614 2017-02-13
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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
1245843572 Jose Raul Sanchez IIi Behavior Technician 1063 Mcgraw Ave, Irvine, CA 92614 2020-08-26
1518579820 Stuti Gohil Behavior Technician 12 Del Azul, Irvine, CA 92614-5365 2020-08-18
1548871064 Angelina Renee Armenta Behavior Technician 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 2020-08-10
1629617089 Reiko Sato Behavior Technician 102 Sonoma Aisle, Irvine, CA 92618-3906 2020-01-03
1609426303 Aaleah Brown Behavior Technician 58 Deerfield Ave, Irvine, CA 92606-7614 2019-09-13
1326609280 Abigail Briana Lozano-flores Behavior Technician 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 2019-06-21
1477022341 Christine Lynn Mumea Behavior Technician 16800 Aston, Irvine, CA 92606-4812 2018-11-20
1477037026 Christopher John Ramirez Behavior Technician 3345 Spectrum, Irvine, CA 92618-3374 2018-09-19
1518458173 Amanda Renee Valles Behavior Technician 18008 Sky Park Cir Ste 108, Irvine, CA 92614-6434 2018-05-19
1487162327 Jessica Nicole Osorio Behavior Technician 18008 Sky Park Cir Ste 101, Irvine, CA 92614-6433 2018-01-12
Find all providers in IRVINE

Competitor

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City IRVINE
Zip Code 92614

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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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