GRACE JERELYN WILES (NPI# 1689214801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689214801 |
| Entity Type | Individual |
| Full Name | GRACE JERELYN WILES |
| Practice Address |
27268 Via Industria Temecula CA 92590-3751 |
| Practice Telephone | 9512656504 |
| Mailing Telephone | 9512656504 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| 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 |
27268 VIA INDUSTRIA |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1629679865 | Sean Brian Glazebrook | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-11-04 |
| 1255930459 | Sonny Makeala Jefferson | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-10-20 |
| 1912511874 | Savannah Rose Anderson | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-09-08 |
| 1073127940 | Leah Rene Russo | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-09-08 |
| 1558989202 | Kalin Vernice Sandow | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-07-09 |
| 1396379368 | Gabriella Marie Velasco | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2020-02-27 |
| 1679111272 | Yvette Lugo | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2019-12-13 |
| 1114563855 | Cynthia Kathleen Ruth | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2019-11-18 |
| 1033753108 | Jessica Ivette Morales | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| 1821243890 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 43391 Business Park Dr, Ste C-9, Temecula, CA 92590 | 2008-11-18 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1225639321 | Megan Kay Goodnough | Behavior Technician | 44864 Corte Casa, Temecula, CA 92592-1603 | 2020-11-04 |
| 1659904696 | Amy Renee Gilman | Behavior Technician | 26720 Ynez Ct # Xt, Temecula, CA 92591-4659 | 2020-02-18 |
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1396388625 | Rachel S Burgess | Behavior Technician | 32472 Sunnyvail Cir, Temecula, CA 92592-1841 | 2019-10-18 |
| 1013579937 | Jessica Sarmiento Sison | Behavior Technician | 44949 Vine Cliff St, Temecula, CA 92592-5513 | 2019-07-01 |
| 1790248755 | Drake Skaggs | Behavior Technician | 32889 Stonefield Ln, Temecula, CA 92592-7210 | 2019-04-08 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1073084000 | Kathryn Kunitake | Behavior Technician | 30858 Canterfield Dr, Temecula, CA 92592-5862 | 2018-12-17 |
| 1275003741 | Alexa P Clark | Behavior Technician | 46357 Kohinoor Way, Temecula, CA 92592-3323 | 2018-11-28 |
| 1114496346 | Allison Joy Sherman | Behavior Technician | 32218 Corte Carmona, Temecula, CA 92592-3655 | 2018-11-16 |
| Find all providers in TEMECULA | ||||
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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.