EASTER SEALS SOUTHERN CALIFORNIA, INC (NPI# 1740573690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740573690 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS SOUTHERN CALIFORNIA, INC |
| Practice Address |
500 W Central Ave Ste A Brea CA 92821-3027 |
| Mailing Address |
1801 E Edinger Ave Ste 190 Santa Ana CA 92705-4754 |
| Practice Telephone | 7148341111 |
| Practice Fax Number | 7148341128 |
| Mailing Telephone | 7148341111 |
| Mailing Fax Number | 7148341128 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | SUSAN BERGLUND (CFO) |
| Authorized Official Telephone | 7148341111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427394865 | Easter Seals Southern California, Inc | Behavioral Analyst | 2121 S Towne Centre Pl, Ste 370, Anaheim, CA 92806-6122 | 2012-12-12 |
| 1326384769 | Easter Seals Southern California, Inc | Behavioral Analyst | 19750 S Vermont Ave, Ste 140, Torrance, CA 90502-1119 | 2012-12-12 |
| 1619255841 | Easter Seals Southern California, Inc | Behavioral Analyst | 1570 E 17th St, Santa Ana, CA 92705-8511 | 2011-07-21 |
| Street Address |
500 W CENTRAL AVE STE A |
| City | BREA |
| State | CA |
| Zip Code | 92821-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297644 | Raquel Von Apitz | Speech-Language Pathologist | 500 W Central Ave, Brea, CA 92821-3027 | 2018-03-07 |
| 1386192672 | Danielle Lynn Sison | Speech-Language Pathologist | 500 W Central Ave, Brea, CA 92821-3027 | 2016-09-14 |
| 1114474400 | Angeleena Kephart | Occupational Therapist | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2016-09-05 |
| 1437525755 | Julia Barnes | Occupational Therapist | 500 W Central Ave, Brea, CA 92821-3027 | 2015-08-20 |
| 1952607384 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2011-02-02 |
| 1356427538 | Garvin Chu | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2006-10-31 |
| 1790731776 | Angelia Sidarta | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2006-05-25 |
| 1215923271 | Rodolfo Perez | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2005-09-26 |
| 1801896287 | Michael Edmunds | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1760839724 | Robert Foster | Behavioral Analyst | 3050 Saturn St Ste 102, Brea, CA 92821-6281 | 2016-05-19 |
| 1902272586 | Vicki Sasahara | Behavioral Analyst | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2015-08-18 |
| 1649896176 | Ixzel Gonzalez Ceballos | Behavioral Analyst | 3050 Saturn St Ste 102, Brea, CA 92821-6281 | 2020-06-20 |
| 1497375026 | Neerav Mangipudi | Behavioral Analyst | 3050 Saturn St, Brea, CA 92821-6221 | 2020-04-23 |
| 1093343444 | Taylor Faust | Behavioral Analyst | 3050 Saturn St Ste 102, Brea, CA 92821-6281 | 2020-03-31 |
| 1427684778 | Eileen Yoo | Behavioral Analyst | 3050 Saturn St Ste 102, Brea, CA 92821-6281 | 2020-03-18 |
| 1033769278 | Arlene Victoria Ledesma | Behavioral Analyst | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-09-19 |
| 1619436102 | Robert Dickinson | Behavioral Analyst | 3050 Saturn St Ste 102, Brea, CA 92821-6281 | 2019-03-14 |
| 1245799808 | Tiffani Sue Earnest | Behavioral Analyst | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-03-13 |
| Find all providers in BREA | ||||
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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.