RAVEN HALEY DEGUZMAN (NPI# 1679109318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679109318 |
| Entity Type | Individual |
| Full Name | RAVEN HALEY DEGUZMAN |
| Practice Address |
5755 Oberlin Dr Ste 300 San Diego CA 92121-4717 |
| Mailing Address |
1301 E Orangewood Ave Anaheim CA 92805-6807 |
| Practice Telephone | 8002491266 |
| Mailing Telephone | 8002491266 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| 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 |
5755 OBERLIN DR STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441140 | Anew Recovery Inc. | Substance Abuse Rehabilitation Facility | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2016-04-02 |
| 1497356646 | Melissa Torres | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-11-04 |
| 1396345070 | Gerardo Gardner | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-10-30 |
| 1922608421 | Kayla Johnson | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-10-26 |
| 1619577129 | Santeh Cox | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-10-26 |
| 1790385201 | Layton Simmonds | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-10-26 |
| 1316547854 | Haley Irizarry | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-10-26 |
| 1134755879 | Esteban Martinez Sr. | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-03-13 |
| 1912533654 | Angelica Tamayo | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-03-13 |
| 1588290225 | Aileen Palma | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2020-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
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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.