JAZMIN SUE CONRAD (NPI# 1871108464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871108464 |
| Entity Type | Individual |
| Full Name | JAZMIN SUE CONRAD |
| Practice Address |
5501 Antique Rose Way Riverbank CA 95367-9505 |
| Mailing Address |
Po Box 399318 San Francisco CA 94139-9318 |
| Practice Telephone | 8665234268 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5501 ANTIQUE ROSE WAY |
| City | RIVERBANK |
| State | CA |
| Zip Code | 95367-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700183803 | Central Valley Autism Project, Inc. | Community/Behavioral Health | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2011-02-25 |
| 1922609981 | Abel Lee Aguilera | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-11-05 |
| 1376143008 | Hannah Michele Hammond | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-30 |
| 1326648569 | Drew F Farris | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1851991129 | Olga Khatsayuk | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1215537733 | Marissa K Seaman | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-26 |
| 1316546948 | Sheila Patterson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-24 |
| 1891394649 | Agustin Max Velasquez | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-22 |
| 1093314155 | Jacqueline Cardenas | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-20 |
| 1023616588 | Katierose Helems | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1831407410 | Workplace Wellness Center | Community/Behavioral Health | 2861 Turpin Ave, Riverbank, CA 95367 | 2010-09-17 |
| 1083843940 | Lorraine Marie Romero | Nurse Practitioner | 4150 Patterson Rd, Riverbank, CA 95367 | 2009-07-13 |
| 1043372618 | Riverbank Primary Care Medical Clinic Inc. | Clinic/Center | 3227 Stanislaus St., Ste 'a', Riverbank, CA 95367 | 2006-12-13 |
| 1366518169 | Reni Varghese | Pharmacist | 1777 W. Yosemite Avenue, Manteca, CA 95367 | 2006-11-27 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1508879396 | George E Schauf | Family Medicine | 3443 Atchison St, Riverbank, CA 95367 | 2006-08-14 |
| 1356360184 | Lawrence D. Podolsky | Obstetrics & Gynecology | 2603 Patterson Road, Suite 2, Riverbank, CA 95367 | 2006-07-19 |
| 1295704484 | Karen A. Schaaf | Registered Nurse | 1425 West H. Street #380, Oakdale, CA 95367 | 2006-03-17 |
| Find all providers in zip 95367 | ||||
| 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 |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1922609981 | Abel Lee Aguilera | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-11-05 |
| 1376143008 | Hannah Michele Hammond | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-30 |
| 1326648569 | Drew F Farris | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1851991129 | Olga Khatsayuk | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1215537733 | Marissa K Seaman | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-26 |
| 1316546948 | Sheila Patterson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-24 |
| 1891394649 | Agustin Max Velasquez | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-22 |
| 1093314155 | Jacqueline Cardenas | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-20 |
| 1023616588 | Katierose Helems | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-15 |
| Find all providers in RIVERBANK | ||||
Please comment or provide details below to improve the information on JAZMIN SUE CONRAD.
| 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.