SHADY ALEXANDRIA PENA (NPI# 1871000208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871000208 |
| Entity Type | Individual |
| Full Name | SHADY ALEXANDRIA PENA |
| Practice Address |
7339 N 1st St Ste 110 Fresno CA 93720-2954 |
| Mailing Address |
Po Box 12231 Fresno CA 93777-2231 |
| Practice Telephone | 5596910358 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0-17-8442 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7339 N 1ST ST STE 110 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451671 | Mercedes Elaine Perez | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-06-11 |
| 1548883408 | Lauren Ashley Davis | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-05-26 |
| 1932737426 | Thomasa Candice Ramirez | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-03-30 |
| 1295363786 | Cheyenne Willcutt | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-03-30 |
| 1124652011 | Kassaundra Monique Martinez | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-02-28 |
| 1639703127 | Rebekah Gamble | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-02-24 |
| 1275167769 | Allison Ballance | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-02-24 |
| 1841830213 | Stephani Villalobos | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-01-13 |
| 1184263519 | Kaylyn Elizabeth Malone | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2020-01-02 |
| 1932747011 | Victoria Isabel Cazares | Behavior Technician | 7339 N 1st St Ste 110, Fresno, CA 93720-2954 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| 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 |
|---|---|---|---|---|
| 1851906465 | Rhandi A Bautista | Behavioral Analyst | 8049 N Poplar Ave Apt 201, Fresno, CA 93711-6876 | 2020-09-10 |
| 1639712409 | Hector Beltran | Behavioral Analyst | 2003 Arden Dr W, Fresno, CA 93703-2509 | 2019-10-23 |
| 1922655349 | Eugina O Okpara | Behavioral Analyst | 1690 W Shaw Ave Ste 205, Fresno, CA 93711-3519 | 2019-08-20 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1184185019 | Ahlexus Valerie Moeun In | Behavioral Analyst | 5067 E Tower Ave, Fresno, CA 93725-1244 | 2019-03-25 |
| 1639636665 | Zeb Kerrenthius Graves IIi | Behavioral Analyst | 2514 N Whittier Ave, Fresno, CA 93727-1462 | 2019-02-26 |
| 1427514934 | Carmen Michelle Leanos | Behavioral Analyst | 4655 E Grant Ave, Fresno, CA 93702-1646 | 2019-02-20 |
| 1235610627 | Alanna Newton | Behavioral Analyst | 8421 N Poplar Ave, Fresno, CA 93711-6094 | 2018-08-24 |
| 1780160465 | Chastity T Fellows | Behavioral Analyst | 1584 W. Orleans Ave, Fresno, CA 93706-9370 | 2018-07-16 |
| 1346731106 | Visna Ven | Behavioral Analyst | 4326 E Fairfax Ave Apt 101, Fresno, CA 93703-3479 | 2018-05-28 |
| Find all providers in FRESNO | ||||
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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.