JACQUES BOUBEKA (NPI# 1871019927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871019927 |
| Entity Type | Individual |
| Full Name | JACQUES BOUBEKA |
| Credential | BHT |
| Practice Address |
9047 E Mayberry Dr Tucson AZ 85730 |
| Practice Telephone | 5203041401 |
| Practice Fax Number | 5025467052 |
| Mailing Telephone | 5203041401 |
| Mailing Fax Number | 5203041401 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | BH5165 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
9047 E MAYBERRY DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182943 | Espoir Believe Home | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730-5758 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| 1730206913 | Lynn F Stewart | Chiropractor | 8985 E Golf Links Rd, Tucson, AZ 85730 | 2007-03-23 |
| Find all providers in zip 85730 | ||||
| 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 |
|---|---|---|---|---|
| 1942809215 | Kayli Riesgo | Behavior Technician | 5656 E Grant Rd Ste 200, Tucson, AZ 85712-2210 | 2020-10-19 |
| 1205447653 | Anna Josephine Lessner | Behavior Technician | 4050 W Aerie Dr Unit 71, Tucson, AZ 85741-2223 | 2020-08-10 |
| 1932719424 | Allison Marques | Behavior Technician | 11710 E Golf Links Rd, Tucson, AZ 85730-5612 | 2020-08-09 |
| 1992314207 | Michael Kelly Haskins | Behavior Technician | 11485 W Massingale Rd, Tucson, AZ 85743-9404 | 2020-07-23 |
| 1235752080 | Morgan S Turner | Behavior Technician | 1030 N Camino Miramonte Apt 3, Tucson, AZ 85716-4205 | 2020-05-27 |
| 1699398255 | Kristina Marie Kiss | Behavior Technician | 7401 E Speedway Blvd Apt 21204, Tucson, AZ 85710-1594 | 2020-05-18 |
| 1891314811 | Austin Cromer | Behavior Technician | 5701 E Glenn St Apt 93, Tucson, AZ 85712-5223 | 2020-04-09 |
| 1720618721 | Jacqueline Marie Ciufo | Behavior Technician | 1200 N El Dorado Pl Ste 700, Tucson, AZ 85715-4670 | 2020-01-19 |
| 1538718523 | Ken Wagner | Behavior Technician | 5729 S 1st Ave, Tucson, AZ 85706-4408 | 2019-09-11 |
| 1881246767 | Heather Monique Dutton | Behavior Technician | 1 S Church Ave Ste 200, Tucson, AZ 85701-1620 | 2019-07-11 |
| Find all providers in TUCSON | ||||
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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.