AMANDA BRADLEY (NPI# 1780003079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780003079 |
| Entity Type | Individual |
| Full Name | AMANDA BRADLEY |
| Practice Address |
510 Whispering Wind Dr Ste 110 Tracy CA 95377-8119 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 2098357256 |
| Mailing Telephone | 2095722589 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15981 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213818 | Amanda Nirah Bradley | Counselor | 8915 Sw Center St Tigard, Tigard, OR 97223 | 2013-05-29 |
| 1326698283 | Amanda Jo Bradley | Nurse's Aide | Kayenta Health Center, Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-12 |
| 1194387035 | Amanda Bradley | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-01 |
| 1710450531 | Amanda Bradley | Nurse Practitioner | 1717 6th Ave S, Birmingham, AL 35233-1801 | 2019-01-03 |
| 1811498751 | Amanda Bradley | Licensed Vocational Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-26 |
| 1639572126 | Amanda Bradley | Counselor | 18750 N 6750 E, Mount Pleasant, UT 84647-2309 | 2014-09-29 |
| 1679976286 | Amanda Bradley | Pharmacist | 2125 Cloverdale Ave, Winston Salem, NC 27103-2506 | 2014-09-28 |
| 1851534606 | Amanda Bradley | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2009-04-09 |
| 1801035498 | Amanda Lee Bradley | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2009-02-05 |
| 1669623740 | Amanda B Bradley | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2008-10-07 |
| Street Address |
510 WHISPERING WIND DR STE 110 |
| City | TRACY |
| State | CA |
| Zip Code | 95377-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870064 | Natalia Jimenez | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-26 |
| 1578163994 | David Thomas | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-26 |
| 1588263164 | Kayla Castillo | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-23 |
| 1184223778 | Navneet Boyal | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-23 |
| 1265031348 | Hope Siegfried | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-20 |
| 1558969329 | Jennifer Denum | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-10-14 |
| 1639784895 | Sahar Fayaz | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-09-14 |
| 1790390961 | Christine E Hopkins | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-09-14 |
| 1225643463 | Jesenia Diaz | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-09-14 |
| 1013522259 | Keyanna Brown | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1639659485 | Moises Puentes | Behavioral Analyst | 1989 Knollcrest Ln, Tracy, CA 95376-5293 | 2018-08-20 |
| 1356844070 | Emily Rico | Behavioral Analyst | 35 E 10th St Ste I, Tracy, CA 95376-4070 | 2018-03-09 |
| 1184125429 | Chelsea Silveira Burgos | Behavioral Analyst | 2850 N Tracy Blvd Ste 202, Tracy, CA 95376-7767 | 2018-02-22 |
| 1780183236 | Surmeet Sandhu | Behavioral Analyst | 2222 Cabana Ln, Tracy, CA 95377-1113 | 2018-02-09 |
| 1972016749 | Karina Sandoval | Behavioral Analyst | 2652 Daniel Hansen Way, Tracy, CA 95377-7990 | 2017-11-14 |
| 1386180065 | Elise Tran | Behavioral Analyst | 193 Ridgeview Dr, Tracy, CA 95377-7067 | 2017-01-18 |
| 1205120755 | Brittany T Mazur | Behavioral Analyst | 475 Darlene Ln, Suite 10, Tracy, CA 95377-7039 | 2011-06-01 |
| 1366744351 | Natalie Reece | Behavioral Analyst | 141 E Highland Ave, Tracy, CA 95376-3614 | 2010-11-23 |
| 1275761108 | Cynthia Skocypec | Behavioral Analyst | 2800 N Tracy Blvd Apt 113, Tracy, CA 95376-7786 | 2009-06-30 |
| 1538384946 | Margarita Marie Polk | Behavioral Analyst | 510 Whispering Wind Dr, Tracy, CA 95377-8119 | 2007-04-13 |
| Find all providers in TRACY | ||||
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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.