VICTORIA BROUSSARD (NPI# 1689213126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689213126 |
| Entity Type | Individual |
| Full Name | VICTORIA BROUSSARD |
| Practice Address |
12432 Bellflower Blvd Downey CA 90242-2806 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8552953276 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624090 | Victoria Lynn Broussard | Licensed Psychiatric Technician | 4600 Bresee Ave, Baldwin Park, CA 91706-2414 | 2007-02-09 |
| 1568939585 | Victoria Burger Broussard | Physical Therapist | 2579 Eric Ln Ste K, Burlington, NC 27215-5416 | 2018-10-29 |
| 1275012114 | Victoria Noel Broussard | Occupational Therapist | 1810 Old Granger, Taylor, TX 76574-3564 | 2018-08-10 |
| Street Address |
12432 BELLFLOWER BLVD |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861772949 | Brittney Winn | Student in an Organized Health Care Education/Training Program | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2011-08-22 |
| 1912508482 | Ana Alvarado | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1306447875 | Rushell Cierra Lathom | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1215538780 | Liliana Marie Romero | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1669073136 | Stephanie K Yaxon | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1568063030 | Genesis Fernandez | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1275133415 | Andres Magana Flores | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-27 |
| 1154921591 | Ana Guadalupe Flores | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-26 |
| 1003416447 | Samantha Diaz | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-26 |
| 1437758372 | Jenny Tim | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| 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 |
|---|---|---|---|---|
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1467087189 | Gustavo Landeros Jr. | Behavior Technician | 12867 Hanwell Ave, Downey, CA 90242-4614 | 2020-03-04 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1548816770 | Edith Negrete | Behavior Technician | 8331 1/2 Fontana St, Downey, CA 90241-5112 | 2019-08-13 |
| 1114587938 | Kimberly Sanchez | Behavior Technician | 9512 Cecilia St, Downey, CA 90241-4011 | 2019-06-14 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1770095952 | Royer A Ramos | Behavior Technician | 10440 Paramount Blvd Apt A203, Downey, CA 90241-2322 | 2017-10-28 |
| 1912508482 | Ana Alvarado | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1306447875 | Rushell Cierra Lathom | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| 1215538780 | Liliana Marie Romero | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-11-02 |
| Find all providers in DOWNEY | ||||
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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.