JESSICA RAE BONGI (NPI# 1750916482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750916482 |
| Entity Type | Individual |
| Full Name | JESSICA RAE BONGI |
| Practice Address |
12971 Oakdale St Eastvale CA 92880-8507 |
| Practice Telephone | 9512849533 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| 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 |
12971 OAKDALE ST |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| 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 |
|---|---|---|---|---|
| 1366040891 | Analyse Monique Gutierrez | Behavior Technician | 14082 Almond Grove Ct, Eastvale, CA 92880-8563 | 2020-10-16 |
| 1699386805 | Brittany Lynn Sherman | Behavior Technician | 13149 Berts Way, Eastvale, CA 92880-3651 | 2020-08-11 |
| 1699319657 | Monika Mikhail-zaitoon | Behavior Technician | 12679 Silas Phelps Dr, Eastvale, CA 92880-7252 | 2019-11-03 |
| 1013565514 | Terrance C Boseman | Behavior Technician | 6358 Aquila Way, Eastvale, CA 91752-7614 | 2019-08-28 |
| 1720633894 | Giselle Leoro | Behavior Technician | 14507 Persimmon Ct, Eastvale, CA 92880-3510 | 2019-08-06 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1780152009 | William Ernesto Argueta | Behavior Technician | 5637 Daybreak Dr Apt C, Eastvale, CA 91752-4212 | 2018-11-05 |
| 1124523931 | Avni Patel | Behavior Technician | 6801 Wild Lupine Rd, Eastvale, CA 92880-9179 | 2018-03-26 |
| 1245756865 | Julian Leonardo Lopez | Behavior Technician | 5725 Canoe Dr, Eastvale, CA 92880-7248 | 2017-08-15 |
| 1649716101 | Jennifer Forbess | Behavior Technician | 6855 Woodrush Way, Eastvale, CA 92880-3984 | 2017-01-09 |
| Find all providers in EASTVALE | ||||
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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.