MRS. ANGELA NICOLE SIMKIN (NPI# 1679023105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679023105 |
Entity Type | Individual |
Full Name | MRS. ANGELA NICOLE SIMKIN |
Other Name | MRS. ANGELA NICOLE CRAWFORD |
Credential | BCABA |
Practice Address |
3200 Zanker Rd Unit 1428 San Jose CA 95134-1943 |
Practice Telephone | 5102199241 |
Mailing Telephone | 5102199241 |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-16-7392 | CA | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | 16-12782 | CA | Behavioral Health & Social Service Providers |
Street Address |
3200 ZANKER RD UNIT 1428 |
City | SAN JOSE |
State | CA |
Zip Code | 95134-1943 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
Find all providers in zip 95134 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1346719143 | Erin Elayne Cervantes | Assistant Behavior Analyst | Reilly Behavioral Group, 1360 North Winchester Avenue, San Jose, CA 95128 | 2018-11-21 |
1164991071 | Christopher Michael Vasquez | Assistant Behavior Analyst | 1360 N Winchester Blvd Ste 4, San Jose, CA 95128-1150 | 2018-11-20 |
1215411780 | Cassandra Gutierrez | Assistant Behavior Analyst | 475 Delridge Dr, San Jose, CA 95111-1703 | 2018-09-20 |
1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
1790300564 | Keiko Ushijima-mwesigwa | Assistant Behavior Analyst | 631 River Oaks Pkwy, San Jose, CA 95134-1907 | 2020-06-08 |
1205456415 | Sheyna A Moore | Assistant Behavior Analyst | 1360 N Winchester Blvd Ste 5, San Jose, CA 95128-1150 | 2020-04-17 |
1104471374 | Gabrielle Marie Phillips | Assistant Behavior Analyst | 3610 Snell Ave, San Jose, CA 95136-1305 | 2019-08-05 |
1992261275 | Angel Estrada | Assistant Behavior Analyst | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-02-12 |
1558830497 | Sin Hang Ho | Assistant Behavior Analyst | 1401 Parkmoor Ave Ste 110, San Jose, CA 95126-3453 | 2018-11-21 |
1457826240 | Ronald Wayne Woods | Assistant Behavior Analyst | 1101 S Winchester Blvd # N260, San Jose, CA 95128-3901 | 2018-10-08 |
Find all providers in SAN JOSE |
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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.