SERENA CHRISTOPHERSEN


Address: 1300 Ethan Way, Suite 175, Sacramento, CA 95825-2211
Phone: 2095214791

SERENA CHRISTOPHERSEN (NPI# 1720351836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720351836
Entity Type Individual
Full Name SERENA CHRISTOPHERSEN
Credential BCBA
Practice Address 1300 Ethan Way
Suite 175
Sacramento
CA 95825-2211
Mailing Address 3425 Coffee Rd
Suite 2c
Modesto
CA 95355-1582
Practice Telephone 2095214791
Practice Fax Number 2095214794
Mailing Telephone 2095214791
Mailing Fax Number 2095214794
Enumeration Date 2012-02-21
Last Update Date 2016-11-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-09-6395 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1300 ETHAN WAY
SUITE 175
City SACRAMENTO
State CA
Zip Code 95825-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407880719 Pulmonary Medicine Associates Medical Group, Inc Allergy & Immunology 1300 Ethan Way, Suite 600, Sacramento, CA 95825-2211 2006-07-10
1962009332 Alyssa Meraz Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2020-10-08
1396377701 Courtney Smith Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2020-02-05
1023640430 Uyen My Thai Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2020-02-05
1437789096 Joshua Gilbert Miles Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2020-01-23
1033755152 Jileen Vue Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2019-11-24
1881239580 Luis Alberto Higareda Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2019-11-17
1780229591 Fololesia Umufuke Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2019-11-15
1902441397 Amber O'connell Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2019-11-09
1255982799 Andrew Collins Behavior Technician 1300 Ethan Way, Sacramento, CA 95825-2211 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528667854 Sarah Claudio Case Manager/Care Coordinator 650 Howe Ave # 400-b, Sacramento, CA 95825 2020-10-19
1962009308 Andrea Isabel Morales Behavior Technician 333 University Avenue, Suite 200, Sacramento, CA 95825 2020-10-08
1942810510 Melissa Marlene Lowndes Occupational Therapist 1337 Howe Ave Unit 107, Sacramento, CA 95825 2020-08-07
1780294827 Travis Elliott Peppers Case Manager/Care Coordinator 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 2020-08-04
1154950327 Hallie Wenz Behavior Technician 333 University Ave Suite #200, Sacramento, CA 95825 2020-04-08
1679105456 Dr. Page Hudson Dental Corporation Dentist 1580 Howe Avenue, Suite A, Sacramento, CA 95825 2020-02-10
1710517891 Amelia Garnica Community/Behavioral Health 720 Howe Avenue, Suite 102, Sacamento, CA 95825 2020-01-17
1427697374 Anthony Barnes Social Worker 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 2019-12-24
1528604519 Mental Health America of Northern California Community/Behavioral Health 720 Howe Ave., Suite 102, Cacramento, CA 95825 2019-11-25
1164068144 Mental Health America of Northern California Community/Behavioral Health 720 Howe Ave. Suite, 102, Sacramento, CA 95825 2019-11-25
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639778756 Reem Mashal Behavioral Analyst 8183 Silverleaf Way, Sacramento, CA 95829-1725 2020-10-20
1114524899 Ciara Kay Prince Behavioral Analyst 333 University Ave Ste 300, Sacramento, CA 95825-6531 2020-10-05
1558997981 Elizabeth Ashley Fuller Behavioral Analyst 1618 18th St Apt 4, Sacramento, CA 95811-6753 2020-03-17
1205466893 Brianna Ram Behavioral Analyst 4320 Valley Hi Dr, Sacramento, CA 95823-6373 2020-01-22
1124667357 Ayana Douglas Behavioral Analyst 2545 Warrego Way, Sacramento, CA 95826-2433 2020-01-06
1376180919 Pryanka Kajol Narayan Behavioral Analyst 4911 73rd St, Sacramento, CA 95820-6027 2019-12-03
1790342939 Behavior Bee, LLC Behavioral Analyst 2978 43rd St, Sacramento, CA 95817-3037 2019-05-23
1225691140 Aries Gresham Behavioral Analyst 3075 Redding Ave Apt 825, Sacramento, CA 95820-2189 2019-04-16
1295207470 Robert Hrabak II Behavioral Analyst 5670 El Arado Way, Sacramento, CA 95822-3110 2018-12-27
1215408158 Serina Jimenez Behavioral Analyst 405 Olivadi Way, Sacramento, CA 95834-7616 2018-12-17
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Competitor

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City SACRAMENTO
Zip Code 95825

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Dataset Information

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.

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