INDIA ALYSE IZIDORO (NPI# 1831729664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831729664 |
Entity Type | Individual |
Full Name | INDIA ALYSE IZIDORO |
Practice Address |
3104 Delta Fair Blvd Antioch CA 94509-4001 |
Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
Practice Telephone | 9257096060 |
Mailing Telephone | 8183452345 |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-18-9439 | NJ | Behavioral Health & Social Service Providers |
Street Address |
3104 DELTA FAIR BLVD |
City | ANTIOCH |
State | CA |
Zip Code | 94509-4001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477912525 | Rachel Elyse Dean | Community Health Worker | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2016-02-17 |
1699391664 | Blanca Lilia Hernandez-ramos | Behavior Technician | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2020-06-24 |
1376169169 | Moska Hasanzada | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2020-06-18 |
1982239331 | Elena Fidanova | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2020-03-05 |
1053946509 | Mini Tran Nguyen | Behavior Technician | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2020-03-05 |
1659904480 | Jose Garcia Orozco | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2020-02-20 |
1275170672 | Shielah Zazay | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-12-04 |
1932744661 | Juan Almazan | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-11-18 |
1154966281 | Sarah Danielle Gonzales | Behavior Technician | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-11-13 |
1871136226 | Nina Karhen De Christopher | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
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Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1043879109 | Megan Elizabeth Mcnesby | Assistant Behavior Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-06-11 |
1669949723 | Samantha Catherine Canha | Assistant Behavior Analyst | 3100 Delta Fair Blvd, Antioch, CA 94509-4001 | 2018-10-26 |
1215411228 | Alicia Saelee | Assistant Behavior Analyst | 640 W 2nd St, Antioch, CA 94509-1270 | 2018-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457716 | Amanda B Ford | Assistant Behavior Analyst | 12412 Crystal Ranch Rd, Moorpark, CA 93021-2916 | 2020-11-03 |
1700493327 | Natalie N Taylor | Assistant Behavior Analyst | 620 E Angela St, Pleasanton, CA 94566-7414 | 2020-09-28 |
1174139729 | Janea Jones | Assistant Behavior Analyst | 9377 Haven Ave, Rancho Cucamonga, CA 91730-5340 | 2020-09-18 |
1285249300 | Janette Lopez | Assistant Behavior Analyst | 15490 Civic Dr, Victorville, CA 92392-2924 | 2020-09-15 |
1073126983 | Raena A Juarez | Assistant Behavior Analyst | 2488 Shield Dr, Union City, CA 94587-1925 | 2020-08-28 |
1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
1730799354 | Krystle Lam | Assistant Behavior Analyst | 7871 Mission Grove Pkwy S Apt 106, Riverside, CA 92508-5032 | 2020-08-07 |
1346850344 | James Kahler | Assistant Behavior Analyst | 40509 Calla Lilly St, Murrieta, CA 92563-6443 | 2020-08-04 |
1154931244 | Cathern Hedge | Assistant Behavior Analyst | 255 E Rincon St Ste 109, Corona, CA 92879-1367 | 2020-08-04 |
1801406814 | Garrett Chase | Assistant Behavior Analyst | 29782 Smugglers Point Dr, Canyon Lake, CA 92587-7474 | 2020-08-04 |
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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.