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).
| 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 |
| 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 |
| Street Address |
18008 SKY PARK CIR STE 110 |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-6434 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92614 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.