MS. JULIE DARLENE MEDINA (NPI# 1871034710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871034710 |
| Entity Type | Individual |
| Full Name | MS. JULIE DARLENE MEDINA |
| Credential | TEACHER |
| Practice Address |
1574 State Road 502 Santa Fe NM 87506-2697 |
| Practice Telephone | 5054557603 |
| Mailing Telephone | 5054557603 |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 246626 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1574 STATE ROAD 502 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87506-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568640712 | Patricia D Gonzales-urioste | Social Worker | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2008-02-08 |
| 1932699766 | Jill Morton | Registered Nurse | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2018-05-17 |
| 1134640915 | Celia Lynn Jones | Nurse Practitioner | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2017-06-30 |
| 1245580323 | Jessica Danielle Walker | Occupational Therapist | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2012-09-14 |
| 1922300458 | Pamela Louise Simon | Occupational Therapy Assistant | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2010-12-04 |
| 1720394661 | Doreen T Campbell | Social Worker | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2010-08-30 |
| 1851538771 | Janine Cheryl Detter | Psychologist | 1574 State Road 502, Santa Fe, NM 87506-2697 | 2009-01-14 |
| 1508035718 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1574 State Road 502, Santa Fe, NM 87506 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| Find all providers in zip 87506 | ||||
| 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 |
|---|---|---|---|---|
| 1457958001 | Denise De La Cruz | Behavior Technician | 3300 Siringo Rd, Santa Fe, NM 87507-5053 | 2020-10-07 |
| 1427665934 | Karmela Bower | Behavior Technician | 2324 Calle Pacifica, Santa Fe, NM 87505-5504 | 2020-09-29 |
| 1558976076 | Stephanie Malouf | Behavior Technician | 1475 Rodeo Rd Apt 214, Santa Fe, NM 87505-6854 | 2020-09-11 |
| 1902419088 | Justin Colin | Behavior Technician | 4754 Morning Ln, Santa Fe, NM 87507-9169 | 2020-08-28 |
| 1578180063 | Breana Abeyta | Behavior Technician | 4620 Apache Knl, Santa Fe, NM 87507-1693 | 2020-06-30 |
| 1992320972 | Gladis Lopez | Behavior Technician | 3532 Jon Kim Ln, Santa Fe, NM 87507-9009 | 2020-06-15 |
| 1881219947 | Emily Koontz | Behavior Technician | 1826 Paseo De La Conquistadora, Santa Fe, NM 87501-2341 | 2020-06-14 |
| 1528682077 | Kevin Edwards | Behavior Technician | 712 Avenida Castellano, Santa Fe, NM 87501-8902 | 2020-06-01 |
| 1265053037 | Victoria Luciana Ramon | Behavior Technician | 825 Calle Mejia Apt 932, Santa Fe, NM 87501-1481 | 2020-05-02 |
| 1427678739 | Flavia Purpura-pontoniere | Behavior Technician | 153 E Lupita Rd, Santa Fe, NM 87505-4715 | 2020-04-16 |
| Find all providers in SANTA FE | ||||
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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.