BRENDA YESENIA REA (NPI# 1629688650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629688650 |
| Entity Type | Individual |
| Full Name | BRENDA YESENIA REA |
| Practice Address |
3780 Kilroy Airport Way Ste 200 Long Beach CA 90806-2458 |
| Mailing Address |
Po Box 1851 South Gate CA 90280-1851 |
| Practice Telephone | 3235488820 |
| Mailing Telephone | 3232455501 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 1052500 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477844017 | Brenda Lynn Rea | Family Medicine | 2112 Harris St, Colton, CA 92324-7523 | 2011-05-01 |
| Street Address |
3780 KILROY AIRPORT WAY STE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346700697 | Family Care Spectrum Therapies | Community/Behavioral Health | 3780 Kilroy Airport Way Ste 200, Long Beach, CA 90806-2458 | 2019-03-22 |
| 1568073864 | Guadalupe Robledo | Behavior Technician | 3780 Kilroy Airport Way Ste 200, Long Beach, CA 90806-2458 | 2020-08-11 |
| 1750903035 | Jonathan Gandara | Behavior Technician | 3780 Kilroy Airport Way Ste 200, Long Beach, CA 90806-2458 | 2020-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1215538590 | Ramsha Khan | Behavior Technician | 225 W 3rd St Apt 436, Long Beach, CA 90802-3052 | 2020-11-04 |
| 1184221962 | Chanel Kim | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-05 |
| 1740898634 | Leslie Bernard | Behavior Technician | 1604 E 3rd St Apt 10, Long Beach, CA 90802-3757 | 2020-07-16 |
| 1053946210 | Alexis Khalisse Causey | Behavior Technician | 234 Termino Ave Apt 10, Long Beach, CA 90803-7504 | 2020-03-09 |
| 1952935298 | Caitlin Eng | Behavior Technician | 2221 Iroquois Ave, Long Beach, CA 90815-2333 | 2020-02-25 |
| 1013557339 | Kymberli Parker | Behavior Technician | 5841 E Pavo St, Long Beach, CA 90808-3719 | 2020-01-15 |
| 1407497969 | Sabrina Del Rosario Hermosillo | Behavior Technician | 1426 Peterson Ave, Long Beach, CA 90813-2326 | 2019-10-04 |
| 1164082392 | Stephanie Astudillo | Behavior Technician | 2696 E 56th St Apt 3, Long Beach, CA 90805-5029 | 2019-06-19 |
| 1265097711 | Georgette Ifeoma Ilouno | Behavior Technician | 2355 Long Beach Blvd, Long Beach, CA 90806-3289 | 2019-05-09 |
| 1205398310 | Vilma Garrido Riquenes | Behavior Technician | 5025 E Pacific Coast Hwy Apt P233, Long Beach, CA 90804-3295 | 2019-04-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.