JEFFREY ARNOLD BERTOTTI (NPI# 1639723497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639723497 |
| Entity Type | Individual |
| Full Name | JEFFREY ARNOLD BERTOTTI |
| Practice Address |
917 3rd St Eureka CA 95501-0513 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 7074424900 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
917 3RD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-0513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995112 | Dallas Wayne Winfield-perez | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2019-07-30 |
| 1700487303 | Karen Belen Villa | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-11-02 |
| 1336740877 | Shaylyn Alyssa Swartz | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-11-02 |
| 1285233122 | Annmarie Christine Harvey | Assistant Behavior Analyst | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-21 |
| 1285232900 | Gabriel J Noonan | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-14 |
| 1356949135 | Destiny Ruth Pagan | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-13 |
| 1700484953 | Michael Anthony Tipton | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-10 |
| 1336747682 | Megan Elizabeth Gardner | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-09 |
| 1003413998 | Alejandro Torres Jr. | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-05 |
| 1558968305 | Jack Panting | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| 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 |
|---|---|---|---|---|
| 1013563451 | Danea A. Williams | Behavior Technician | 325 2nd St Ste 203, Eureka, CA 95501-0591 | 2019-08-12 |
| 1356995112 | Dallas Wayne Winfield-perez | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2019-07-30 |
| 1700487303 | Karen Belen Villa | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-11-02 |
| 1336740877 | Shaylyn Alyssa Swartz | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-11-02 |
| 1285232900 | Gabriel J Noonan | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-14 |
| 1356949135 | Destiny Ruth Pagan | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-13 |
| 1700484953 | Michael Anthony Tipton | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-10 |
| 1336747682 | Megan Elizabeth Gardner | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-09 |
| 1003413998 | Alejandro Torres Jr. | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-05 |
| 1558968305 | Jack Panting | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2020-10-05 |
| Find all providers in EUREKA | ||||
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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.