TYLER S. MITCHELL (NPI# 1760984413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760984413 |
| Entity Type | Individual |
| Full Name | TYLER S. MITCHELL |
| Practice Address |
4312 Slough Ct Elk Grove CA 95757-4625 |
| Practice Telephone | 9167048992 |
| Mailing Telephone | 9167048992 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729369 | Tyler Issac Mitchell | Counselor | 1978 Garden Ln Apt 3, Cincinnati, OH 45237-6045 | 2020-01-12 |
| 1114446523 | Tyler Mitchell | Specialist/Technologist | 1049 Starview Drive, West Columbia, SC 29172 | 2017-09-18 |
| 1831718931 | Tyler John Mitchell | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-09 |
| 1194266189 | Tyler Mitchell | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-03-10 |
| Street Address |
4312 SLOUGH CT |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| 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 |
|---|---|---|---|---|
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1336748029 | Abbie Villani | Behavior Technician | 9370 W Stockton Blvd Ste 6, Elk Grove, CA 95758-8013 | 2020-10-22 |
| 1154931004 | Amanda Arizmendi | Behavior Technician | 8612 Elk Ridge Way, Elk Grove, CA 95624-2244 | 2020-08-05 |
| 1528676384 | Job Michael Devera Joves | Behavior Technician | 9765 Waterfowl Dr, Elk Grove, CA 95757-8128 | 2020-07-17 |
| 1669091542 | Megan N Tate | Behavior Technician | 6627 Romanzo Way, Elk Grove, CA 95758-5814 | 2020-04-10 |
| 1427685494 | Concepcion Antunez Betancourt | Behavior Technician | 2230 Longport Ct Ste 130, Elk Grove, CA 95758-7182 | 2020-03-26 |
| 1790317642 | Lilliana Minelle Sargent | Behavior Technician | 2230 Longport Ct, Elk Grove, CA 95758-7182 | 2020-02-09 |
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1225688120 | Kevin Rai | Behavior Technician | 8598 Windsor Point Way, Elk Grove, CA 95624-3461 | 2019-09-13 |
| Find all providers in ELK GROVE | ||||
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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.