ELIAS BRISENO (NPI# 1871144691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871144691 |
| Entity Type | Individual |
| Full Name | ELIAS BRISENO |
| Practice Address |
625 Fair Oaks Ave South Pasadena CA 91030-2630 |
| Practice Telephone | 3233415580 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-26 |
| 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 |
| Street Address |
625 FAIR OAKS AVE |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649220559 | Raquel Belen Pizano-hazama | Social Worker | 625 Fair Oaks Ave, Suite 374, South Pasadena, CA 91030-2630 | 2006-05-11 |
| 1205442134 | Howard M Gellerman | Marriage & Family Therapist | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2020-09-16 |
| 1053957035 | Katie Elaine Joseph | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-11-25 |
| 1710446877 | Miguel H. Trejo | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-03-18 |
| 1902345564 | Nallely Arechiga | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2017-02-15 |
| 1528515285 | Wendy Martinez | Behavior Technician | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2016-09-09 |
| 1578922241 | Dwight Jaron Sanders | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2016-02-23 |
| 1275901837 | Carlos Santos | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2015-09-11 |
| 1538545504 | Christina Desiere | Behavioral Analyst | 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030-2630 | 2015-07-31 |
| 1952785412 | Isaac Ruiz | Behavioral Analyst | 625 Fair Oaks Ave, Suite 200, South Pasadena, CA 91030-2630 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1730790726 | Maria Barrera | Behavior Technician | 1137 Huntington Dr Bldg A, South Pasadena, CA 91030-4563 | 2020-08-12 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1053957035 | Katie Elaine Joseph | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-11-25 |
| 1710446877 | Miguel H. Trejo | Behavior Technician | 625 Fair Oaks Ave, South Pasadena, CA 91030-2630 | 2019-03-18 |
| 1649772526 | Elizabeth Lopez | Behavior Technician | 1107 Fair Oaks Ave # 458, South Pasadena, CA 91030-3311 | 2018-03-06 |
| 1891297107 | Sara Forster | Behavior Technician | 1107 Fair Oaks Ave # 458, South Pasadena, CA 91030-3311 | 2018-03-02 |
| 1932607355 | Jose Rubalcaba | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2018-01-31 |
| 1265948772 | Annastanzia Katz | Behavior Technician | 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 | 2017-12-19 |
| 1104332766 | Daniel Gonzalez | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-12-19 |
| 1598276206 | Andrew Barrera | Behavior Technician | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2017-10-20 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.