RUSSELL HATCH (NPI# 1639701741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639701741 |
| Entity Type | Individual |
| Full Name | RUSSELL HATCH |
| Credential | CCMA |
| Practice Address |
368 San Marcus Dr Vallejo CA 94590-7355 |
| Practice Telephone | 7075805142 |
| Mailing Telephone | 7075805142 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702081 | Russell Dean Hatch | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2019-04-02 |
| Street Address |
368 SAN MARCUS DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-7355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1255940987 | Aaliyah Nicole Wood | Behavior Technician | 121 Misty Ct, Vallejo, CA 94589-3238 | 2020-07-28 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1225664840 | Cynthia Damiana Moreno | Behavior Technician | 1203 York St, Vallejo, CA 94590-6346 | 2020-03-15 |
| 1285267393 | Nathan James Antolin | Behavior Technician | 190 Maurine Ct, Vallejo, CA 94590-8116 | 2020-02-17 |
| 1003448366 | Jaylen Deandre Tregle | Behavior Technician | 216 Clearpointe Dr, Vallejo, CA 94591-8285 | 2020-02-05 |
| 1972140325 | Adam Aguilar | Behavior Technician | 243 Woodson Way, Vallejo, CA 94591-4153 | 2019-12-04 |
| 1093369613 | Jaclyn Aliana Mariano | Behavior Technician | 249 Fairhaven Way, Vallejo, CA 94591-7266 | 2019-07-31 |
| 1336703669 | Dalanii Delacruz | Behavior Technician | 420 Annette Ave, Vallejo, CA 94591-6574 | 2019-04-22 |
| 1649748195 | Theresa Ann Meilani Bauzon | Behavior Technician | 118 Fuchsia Ct, Vallejo, CA 94591-7627 | 2018-11-02 |
| Find all providers in VALLEJO | ||||
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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.