STEPHANIE NICHOLE GIBSON (NPI# 1629543384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629543384 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICHOLE GIBSON |
| Practice Address |
20101 Hamilton Ave Ste 100 Torrance CA 90502-1351 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 4249992990 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 | 8183452345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587767 | Stephanie Gibson | Nurse Practitioner | 5803 W Murfield Dr, Rogers, AR 72758-4565 | 2020-01-24 |
| 1174175731 | Stephanie Samantha Gibson | Occupational Therapist | 6760 Fox Creek Dr, Cumming, GA 30040-6662 | 2019-07-14 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1710186309 | Stephanie Ann Gibson | Massage Therapist | 515 B St Ne, Auburn, WA 98002-4003 | 2007-07-13 |
| 1568597094 | Stephanie Gibson | Pharmacist | 155 East Broad Street, Suite 1700, Columbus, OH 43215 | 2007-02-23 |
| 1619065141 | Stephanie Francis Gibson | Family Medicine | 85 Benedict Ave, Suite 101, Norwalk, OH 44857-2112 | 2006-10-10 |
| 1801495494 | Stephanie Gibson | Nurse Practitioner | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2020-10-23 |
| 1699309708 | Stephanie Gibson | Physician Assistant | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2020-02-27 |
| 1730711524 | Stephanie Gibson | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-02-10 |
| 1306317508 | Stephanie Gibson | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2018-12-16 |
| Street Address |
20101 HAMILTON AVE STE 100 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255849790 | Sandra Adilene Bahena | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2018-01-18 |
| 1730797689 | Michelle Magdalene Mathieu | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2020-07-16 |
| 1275176646 | Jade Davis | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-10-18 |
| 1811539851 | Ashley Hawkins | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-10-10 |
| 1578105862 | Brianna Nicole Ybarra | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-10-08 |
| 1679123194 | Veronica Meza | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-09-17 |
| 1912557406 | Imani M Johnson | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-09-17 |
| 1760034771 | Gloria Amarany Calzada | Behavioral Analyst | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-07-10 |
| 1841856416 | Santos Solis Jr. | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-05-19 |
| 1881258739 | Hung Pham | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1952918708 | Ashley Santiago | Behavior Technician | 21515 Hawthorne Blvd Unit Gl100, Torrance, CA 90503-6501 | 2020-09-25 |
| 1952925364 | Talisa Rose Ortiz | Behavior Technician | 21515 Hawthorne Blvd Unit Gl-100, Torrance, CA 90503-6501 | 2020-06-01 |
| 1467074872 | Dante Anton | Behavior Technician | 16685 Crenshaw Blvd, Torrance, CA 90504-2151 | 2020-05-08 |
| 1508485038 | Katherine Ruth Lewis | Behavior Technician | 357 Van Ness Way Ste 175, Torrance, CA 90501-1483 | 2020-04-14 |
| 1932761442 | Jessica Lyn Costello | Behavior Technician | 21023 Amie Ave, Torrance, CA 90503-4747 | 2019-07-03 |
| 1073179974 | Brian F Hernandez | Behavior Technician | 16112 Van Ness Ave Apt 5, Torrance, CA 90504-1628 | 2019-05-15 |
| 1609431063 | Alanna Ng | Behavior Technician | 20308 Madison St Apt 4, Torrance, CA 90503-2541 | 2019-05-01 |
| 1124585955 | Jacqueline Vargas Castillo | Behavior Technician | 637 Sartori Ave, Torrance, CA 90501-1407 | 2019-02-28 |
| 1952867590 | Jerrell Bradford | Behavior Technician | 23302 S Vermont Ave, Torrance, CA 90502-2940 | 2019-02-19 |
| 1518444769 | Kellie Michelle Butler | Behavior Technician | 21014 Reynolds Dr Apt 2, Torrance, CA 90503-4266 | 2018-07-20 |
| Find all providers in TORRANCE | ||||
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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.