JEANETT GUADALUPE DE LA MORA (NPI# 1669008512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008512 |
| Entity Type | Individual |
| Full Name | JEANETT GUADALUPE DE LA MORA |
| Practice Address |
1440 Empire St Fairfield CA 94533-4722 |
| Practice Telephone | 7076069947 |
| Mailing Telephone | 7076069947 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |
| 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 |
| Street Address |
1440 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1316551997 | Melissa Fitzgerald | Behavior Technician | 1184 Ironwood Ct, Fairfield, CA 94533-7729 | 2020-09-01 |
| 1285268003 | Giovanna Lee Gonzalez-pedraza | Behavior Technician | 561 Americano Way, Fairfield, CA 94533-7214 | 2020-03-02 |
| 1770137168 | Anita Nichole Cook | Behavior Technician | 36 Villa Ct, Fairfield, CA 94533-2527 | 2019-07-24 |
| 1710549696 | Kailee Lynn Wilder | Behavior Technician | 744 Empire St Ste 102, Fairfield, CA 94533-5562 | 2019-07-01 |
| 1700445897 | Mariah Annastesia Garrick | Behavior Technician | 2452 Skyview Cir, Fairfield, CA 94534-8626 | 2019-06-12 |
| 1427519222 | Luis Velazquez | Behavior Technician | 801 Jefferson St Ste 3&45&6, Fairfield, CA 94533-5557 | 2019-03-26 |
| 1881164952 | Marilyn Platero | Behavior Technician | 2581 Vista Grande, Fairfield, CA 94534-1771 | 2018-11-30 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1558831263 | Catalina Correa | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2018-11-26 |
| 1285119578 | Therese Evangelina Gallegos | Behavior Technician | 1400 Hawaii St, Fairfield, CA 94533-4732 | 2018-10-02 |
| Find all providers in FAIRFIELD | ||||
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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.