MYCAL MOXLEY (NPI# 1881241362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881241362 |
| Entity Type | Individual |
| Full Name | MYCAL MOXLEY |
| Practice Address |
5330 College Avenue Suite 240 Oakland CA 94618 |
| Mailing Address |
268 Bush St Ste 3039 San Francisco CA 94104-3503 |
| Practice Telephone | 8883623970 |
| Mailing Telephone | 8883623970 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RBT | RBT-19-90784 | 01 |
| Street Address |
5330 COLLEGE AVENUE SUITE 240 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
| 1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
| 1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
| 1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
| 1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
| 1114040458 | Linda Kay Brunson | Psychologist | 5435 College Avenue, Suite 202-7, Oakland, CA 94618 | 2007-04-10 |
| Find all providers in zip 94618 | ||||
| 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 |
|---|---|---|---|---|
| 1922606011 | Andrew Davidson | Behavior Technician | 3063 Parker Ave, Oakland, CA 94605-3321 | 2020-10-12 |
| 1417564824 | Kaitlyn Goss | Behavior Technician | 2476 Pebble Beach Dr, Oakland, MI 48363-2445 | 2020-09-29 |
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1326651811 | Antony Navidad | Behavior Technician | 155 Grand Ave Ste 100, Oakland, CA 94612-3721 | 2020-08-25 |
| 1336750819 | Tashay Price | Behavior Technician | 400 29th St Ste 209, Oakland, CA 94609-3547 | 2020-08-10 |
| 1306462916 | Erica Jenine Ramos | Behavior Technician | 301 S Tubb St # A1, Oakland, FL 34760-8859 | 2020-06-19 |
| 1093340127 | Nereida Gonzalez Huizar | Behavior Technician | 1716 90th Ave Apt B, Oakland, CA 94603-1602 | 2020-03-09 |
| 1982236527 | Victor Ross Tolbert | Behavior Technician | 400 29th St Ste Oakland, Oakland, CA 94609-3522 | 2020-02-11 |
| 1851922264 | Nehchal Kaur Matharu | Behavior Technician | 155 Grand Ave, Oakland, CA 94612-3758 | 2020-02-04 |
| 1215567763 | Nora Cooper | Behavior Technician | 160 Franklin St Ste 100, Oakland, CA 94607-3764 | 2020-01-23 |
| Find all providers in OAKLAND | ||||
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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.