MR. JASON TYLER SMITH (NPI# 1851906705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851906705 |
| Entity Type | Individual |
| Full Name | MR. JASON TYLER SMITH |
| Practice Address |
4125 Blackhawk Plaza Cir Ste 230 Danville CA 94506-4648 |
| Practice Telephone | 8442628466 |
| Mailing Telephone | 8442628466 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874250 | Jason Joseph Smith | Nurse Practitioner | 60 Meadowlark Dr, Penfield, NY 14526-2036 | 2020-06-08 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1033695564 | Jason Smith | Nurse Practitioner | 413 Sanner St, Edwardsville, IL 62025-1080 | 2018-07-18 |
| 1619335429 | Jason Smith | Social Worker | 1025 Se 23rd St, Okeechobee, FL 34974-5362 | 2016-02-08 |
| 1013374289 | Jason Smith | Physical Therapy Assistant | 960 S Logan St Apt 101, Denver, CO 80209-4148 | 2016-01-19 |
| 1902273394 | Jason Richard Smith | Physical Therapist | 300 E College Way Ste B, Mount Vernon, WA 98273-5429 | 2015-09-01 |
| 1083006670 | Jason T. Smith | Physician Assistant | 4419 Bearberry Ave, Baytown, TX 77521-1677 | 2015-02-19 |
| 1790183010 | Jason Smith | Technician | 19 Oracle Ct, Sacramento, CA 95823-4086 | 2014-12-18 |
| 1982016648 | Jason Smith | Student in an Organized Health Care Education/Training Program | 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 | 2014-05-28 |
| 1780016485 | Jason Smith | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-05 |
| Street Address |
4125 BLACKHAWK PLAZA CIR STE 230 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420151 | Sabrina Jenelle Cisneros | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-06-03 |
| 1962001040 | Richard Valdez | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-10-20 |
| 1598364671 | Natalie Cordero | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-10-20 |
| 1649886805 | Rhea Mukesh Advani | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-09-22 |
| 1982210142 | Thupten Gelek | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-09-22 |
| 1144833690 | Matthew Patrick Jewik | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-08-25 |
| 1659984102 | Fabienne Louisa Fayani Ouapou-lena | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-08-25 |
| 1780295097 | Hallie Noel Mrizek | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-08-11 |
| 1053922310 | Rodilyn Agbayani Operario | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-08-11 |
| 1447861786 | Lizbeth Mejia Arreguin | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
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| 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 |
|---|---|---|---|---|
| 1730790130 | Hilary Monk Nowlin | Behavior Technician | 441 Piney Forest Rd Ste 0, Danville, VA 24540-4154 | 2020-08-11 |
| 1902420151 | Sabrina Jenelle Cisneros | Behavior Technician | 4125 Blackhawk Plaza Cir Ste 230, Danville, CA 94506-4648 | 2020-06-03 |
| 1306314703 | Trenton Harris | Behavior Technician | 1045 Main St Ste 2, Danville, VA 24541-1800 | 2018-11-05 |
| 1497231146 | Rosin Thuruthickara | Behavior Technician | 12 Haskins Ranch Cir, Danville, CA 94506-1308 | 2018-07-16 |
| 1255824454 | Julia Golub | Behavior Technician | 153 Merano St, Danville, CA 94526-1968 | 2018-06-12 |
| 1609366376 | Cristal Anne Lorenzo Estrella | Behavior Technician | 501 Danville Blvd, Danville, CA 94526-2404 | 2018-05-17 |
| 1306336284 | Derek James Strachan | Behavior Technician | 800 San Ramon Valley Blvd Ste 100, Danville, CA 94526-4018 | 2018-05-16 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1598267197 | Jeff Westermann | Behavior Technician | 811 San Ramon Valley Blvd Ste 100, Danville, CA 94526-4025 | 2018-02-28 |
| 1265951610 | Jordan Elisabeth Wilson | Behavior Technician | 1114 Main St Apt A, Danville, VA 24541-2954 | 2017-09-18 |
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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.