SANDRA J SMITH (NPI# 1841575404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841575404 |
| Entity Type | Individual |
| Full Name | SANDRA J SMITH |
| Credential | LEP, BCBA |
| Practice Address |
4808 Far Country Ct Moorpark CA 93021-3521 |
| Practice Telephone | 8054280948 |
| Mailing Telephone | 8054280948 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LEP2570 | CA | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | LEP2570 BCBA1118 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157172 | Sandra Smith | Massage Therapist | 468 N Pond Fork Rd, Westminster, SC 29693-3218 | 2020-08-31 |
| 1366055832 | Sandra Gayle Smith | Technician | 270 Hickory Ln, Augusta, WV 26704-8429 | 2020-08-25 |
| 1528693389 | Sandra Yvette Smith | Registered Nurse | 8222 Beach Way Dr, Blaine, WA 98230-9581 | 2020-03-11 |
| 1619435260 | Sandra Smith | Private Vehicle | 6074 Charles Ave, Fayetteville, NC 28311-1286 | 2019-03-03 |
| 1164905964 | Sandra Louise Smith | Social Worker | 12 White Pine Ln, Kingston, MA 02364-1046 | 2018-09-08 |
| 1932621711 | Sandra Smith | Community Health Worker | 7103 Nw 73rd Ave, Tamarac, FL 33321-5467 | 2017-07-12 |
| 1386049823 | Sandra M Smith | Chiropractor | 10620 N 38th St, Phoenix, AZ 85028-3414 | 2014-10-27 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1154743649 | Sandra Mae Smith | Physical Therapy Assistant | 430 Lily Rd. Ne, Olympia, WA 98506 | 2014-01-17 |
| 1154754091 | Sandra Kelly Smith | Developmental Therapist | 8057 W Duane Dr, Frankfort, IL 60423-8102 | 2013-08-14 |
| Street Address |
4808 FAR COUNTRY CT |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| 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 |
|---|---|---|---|---|
| 1235483488 | Nicole Storbakken | Behavioral Analyst | 6494 Vassar Cir, Moorpark, CA 93021-1428 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1932709730 | Kathleen Brock Murphy | Behavioral Analyst | 4456 Manzanita Ave Ste 2, Clearlake, CA 95422-7200 | 2020-10-29 |
| 1932709003 | Jazmin Ramirez | Behavioral Analyst | 10415 San Luis Ave, South Gate, CA 90280-6627 | 2020-10-28 |
| 1194325548 | Valeria Del Rocio Temblador | Behavioral Analyst | 510 N Mcdonnell Ave, East Los Angeles, CA 90022-1111 | 2020-10-27 |
| 1114527561 | Miriam Soledad Bautista | Behavioral Analyst | 1060 Chinquapin Ave Apt 3, Carlsbad, CA 92008-3539 | 2020-10-27 |
| 1922607449 | Martin Johns | Behavioral Analyst | 11618 Wake Cir, Cypress, CA 90630-5547 | 2020-10-26 |
| 1962001552 | Leandra Barisoff | Behavioral Analyst | 13920 City Center Dr # 219, Chino Hills, CA 91709-5432 | 2020-10-23 |
| 1740889617 | Kolby James Losik | Behavioral Analyst | 19219 Coliseum Ln, Marina, CA 93933-5232 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.