ASUMI DOUGLASS (NPI# 1740692508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740692508 |
| Entity Type | Individual |
| Full Name | ASUMI DOUGLASS |
| Credential | BCBA |
| Practice Address |
1335 N Dutton Ave # 95401 Santa Rosa CA 95401-4609 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 7078882927 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15824 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3641 Copperfield Dr, Apt #186, San Jose, CA 951364043 | 9193452717 |
| Street Address |
1335 N DUTTON AVE # 95401 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306112 | Braden Tavelli | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-11-04 |
| 1265032916 | Anita Riveros Santiago | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-10-30 |
| 1538769294 | Isis Mccauley | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-10-30 |
| 1952900524 | Cheyenne Mcconnell | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-10-23 |
| 1417556192 | Violet Esquivel | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-10-22 |
| 1902413800 | Stephanie Sara Britton | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-09-25 |
| 1235746132 | Alejandra Citlali Perez | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-09-25 |
| 1295341030 | Katherine Anne Pearlstein | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-09-17 |
| 1922613967 | Rosa Alexandra Diaz De Leon | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-09-15 |
| 1831703669 | Yazmin Campos | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1093340440 | Sujey Arzeta | Behavioral Analyst | 1965 Zinfandel Ave Apt 201, Santa Rosa, CA 95403-7247 | 2020-03-05 |
| 1912564808 | Ceci Yazmin Godoy Barragan | Behavioral Analyst | 1316 Edwards Ave Apt A, Santa Rosa, CA 95401-4260 | 2019-05-25 |
| 1609432681 | Sarah Renee Briggs | Behavioral Analyst | 1721 Mesa Way, Santa Rosa, CA 95407-7141 | 2019-05-15 |
| 1619532439 | Marisol Aguirre | Behavioral Analyst | 737 Hewett St, Santa Rosa, CA 95401-5364 | 2019-05-07 |
| 1962066142 | Helen Gebretensai Gubsa | Behavioral Analyst | 8 Woodwardia Sq, Santa Rosa, CA 95409-5328 | 2019-04-23 |
| 1689133076 | Lattice Educational Services | Behavioral Analyst | 3273 Airway Dr Ste A, Santa Rosa, CA 95403-2080 | 2019-03-15 |
| 1033681267 | Ilany Prieto Altamirano | Behavioral Analyst | 2603 Northcoast St, Santa Rosa, CA 95403-3305 | 2018-12-28 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1063997856 | Taralyn Marie Kolster | Behavioral Analyst | 2001 Piner Rd Apt 148, Santa Rosa, CA 95403-6962 | 2018-09-27 |
| 1578047940 | Jenifer Catherine Hamilton | Behavioral Analyst | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on ASUMI DOUGLASS.
| 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.