MS. ARMIDA RODRIGUEZ GOMEZ (NPI# 1821376781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821376781 |
| Entity Type | Individual |
| Full Name | MS. ARMIDA RODRIGUEZ GOMEZ |
| Practice Address |
12510 Van Nuys Blvd Ste 201 Pacoima CA 91331-6732 |
| Mailing Address |
3978 Sorrento Valley Blvd Ste 100 San Diego CA 92121-1436 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 8583537723 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1821376781 | 05 |
| Street Address |
12510 VAN NUYS BLVD STE 201 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821129909 | Lin Min Kong | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2007-03-08 |
| 1114314259 | Alejandra Torres | Counselor | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2015-04-15 |
| 1902297369 | Nancy De La Torre | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2015-02-06 |
| 1386054575 | Hathaway-sycamores Child and Family Services | Community/Behavioral Health | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2014-04-28 |
| 1548512403 | Kelly Lynn Johnson | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2012-10-02 |
| 1588911291 | Megan Stanley | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2012-08-13 |
| 1669743811 | Cristal Rojas | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2012-01-19 |
| 1891074324 | Nathalie Beltran | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-08-15 |
| 1386922243 | Melanie Johnson | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-07-26 |
| 1093006322 | Eleanor Isadora Owen | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| 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 |
|---|---|---|---|---|
| 1699230235 | Erasmo Ruelas | Behavior Technician | 13082 Goleta St, Pacoima, CA 91331-3249 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639057 | Rebecca Quinones | Behavior Technician | 4434 Kennett Ter, Fremont, CA 94536-5735 | 2020-11-06 |
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1659972446 | Kellyn Hartsfield | Behavior Technician | 3252 W Barstow Ave, Fresno, CA 93711-2606 | 2020-11-06 |
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1598366551 | Jennifer Rene Chavez | Behavior Technician | 2015 Donner Ave, Clovis, CA 93611-5274 | 2020-11-05 |
| 1063013969 | Jamie Ann Cunningham | Behavior Technician | 9551 S Coast Ln, Elk Grove, CA 95758-1168 | 2020-11-05 |
| 1568063592 | Katie Nester | Behavior Technician | 1926 Via Centre Dr, Suite B, Vista, CA 92081-6056 | 2020-11-05 |
| 1801497821 | Daisia Newman | Behavior Technician | 3038 Great Egret Way, Sacramento, CA 95834-1096 | 2020-11-05 |
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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.