DONNA DELA PENA BARDSLEY (NPI# 1679043772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679043772 |
| Entity Type | Individual |
| Full Name | DONNA DELA PENA BARDSLEY |
| Practice Address |
75 E Santa Clara St San Jose CA 95113-1827 |
| Practice Telephone | 8662271211 |
| Mailing Telephone | 8662271211 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-66439 | CA | Behavioral Health & Social Service Providers |
| Street Address |
75 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95113-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982982641 | Nicole Marie Calderone | Marriage & Family Therapist | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2011-07-29 |
| 1386114478 | Hong Tang | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1013487107 | Melissa Garma Cabrera | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1730659814 | Ana Silvia Dorantes Vargas | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1770053845 | Marc Anthony Ramos Ambriz | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1356811442 | Maryanah D Baker | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1225508393 | Anses Carlota Ramos Alvarez | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1770053852 | Jorge Luis Prieto | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1689144776 | Stephanie Nicole Jillson | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-11-30 |
| 1699272831 | Joel Alexander | Behavior Technician | 75 E Santa Clara St, San Jose, CA 95113-1827 | 2018-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366851164 | Kory Dean Doyle | Marriage & Family Therapist | 2 N Market St Ste 300, San Jose, CA 95113 | 2014-08-05 |
| 1316358260 | El Dorado Community Service Ecnter | Clinic/Center | 804-808 Julian St, San Jose, CA 95113 | 2014-05-14 |
| 1720415847 | Ap S Kumlin | Specialist/Technologist | 25 Post Street, San Jose, CA 95113 | 2013-10-03 |
| 1518247105 | Caminar | Community/Behavioral Health | 452 S 1st St, San Jose, CA 95113 | 2011-08-26 |
| 1548442387 | Vineeta Singh | Dentist | 48 E. Santa Clara St., San Jose, CA 95113 | 2007-12-04 |
| 1245457456 | Ann Williams Emanuel Turner | Pharmacist | Walgreens Drugstore #5219, 5 S. 1st St., San Jose, CA 95113 | 2007-04-19 |
| 1316031149 | Scott P. Feldman, O.d. Inc. | Optometrist | 100 Park Center Plaza, Suite 113, San Jose, CA 95113 | 2006-10-03 |
| 1366991325 | Caminar | Community/Behavioral Health | 201 N 1st St, San Jose, CA 95113 | 2016-09-30 |
| 1629488853 | Thirve Therapy and Social Center | Point of Service | 25 Post Street, San Jose, CA 95113 | 2014-04-28 |
| 1780957563 | Mandy Rose Gutierrez | Marriage & Family Therapist | 191 N 1st St, San Jose, CA 95113-1006 | 2012-02-09 |
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| 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 |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1720685357 | Natia Chitadze | Behavior Technician | 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 | 2020-10-06 |
| 1235746306 | Patricia Yazmin Landa Garibay | Behavior Technician | 820 N Jackson Ave, San Jose, CA 95133-1223 | 2020-09-23 |
| 1134739022 | Esperanza Garnica | Behavior Technician | 346 Menker Ave, San Jose, CA 95128-2401 | 2020-08-05 |
| 1629688593 | Jael Nunez Saavedra | Behavior Technician | 1497 Saratoga Ave, San Jose, CA 95129-4938 | 2020-08-05 |
| 1194334839 | Jason Sanders Jr. | Behavior Technician | 1590 De Rose Way, San Jose, CA 95126-4141 | 2020-07-29 |
| 1134738875 | Ugochukwu Kas-osoka | Behavior Technician | 164 Park Sharon Dr, San Jose, CA 95136-2535 | 2020-07-29 |
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1114544376 | Katrina Chua | Behavior Technician | 369 Longhill Ct, San Jose, CA 95138-1392 | 2020-07-02 |
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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.