JACOB LUKE JOHNSON (NPI# 1750998613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750998613 |
| Entity Type | Individual |
| Full Name | JACOB LUKE JOHNSON |
| Practice Address |
1520 Nutmeg Pl Ste 110 Costa Mesa CA 92626-2557 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8182416780 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1952811861 | Jacob Johnson | Specialist/Technologist | 33610 Washington St Ne, Cambridge, MN 55008-9153 | 2017-10-05 |
| 1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
| 1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
| 1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
| Street Address |
1520 NUTMEG PL STE 110 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417193442 | Elizabeth M. Acosta | Chiropractor | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2008-12-22 |
| 1790386878 | Nuria Maida Safar | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-11-04 |
| 1962002220 | Nikita Marie Morton | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-10-27 |
| 1417556697 | Bryan Amezquita | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-10-20 |
| 1619576840 | Carol Andrea Palomera | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-10-19 |
| 1912514175 | Jesli-marie Keobunta Thongkham | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-30 |
| 1922615871 | Sonia Marina Bishara | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-24 |
| 1215543368 | Alexandra Marie Paige | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-23 |
| 1598372674 | Alondra Jacklin Novoa | Behavioral Analyst | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-23 |
| 1083221196 | Michael David Aylard | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1467059337 | Rabecca Moreno | Behavior Technician | 575 W 19th St Apt A105, Costa Mesa, CA 92627-5046 | 2020-10-05 |
| 1083227052 | Christopher William Slaughter | Behavior Technician | 1520 Nutmeg Pl Ste 101, Costa Mesa, CA 92626-2557 | 2020-08-28 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1215552666 | Jaylin Christa Moreno | Behavior Technician | 555 Anton Blvd # 150, Costa Mesa, CA 92626-7811 | 2020-06-11 |
| 1487275996 | Mary Grace Lamons | Behavior Technician | 1091 Salvador St, Costa Mesa, CA 92626-5540 | 2020-05-06 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1982247987 | Cara Joy Candlish | Behavior Technician | 1616 Elm Ave, Costa Mesa, CA 92626-4953 | 2019-10-22 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.