MADELYN BARTOLOME


Address: 5111 Johnson Dr, Pleasanton, CA 94588-3343
Phone: 9255967000

MADELYN BARTOLOME (NPI# 1902369861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902369861
Entity Type Individual
Full Name MADELYN BARTOLOME
Practice Address 5111 Johnson Dr
Pleasanton
CA 94588-3343
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 9255967000
Mailing Telephone 8183452345
Enumeration Date 2019-04-08
Last Update Date 2019-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician CA Behavioral Health & Social Service Providers

Office Location

Street Address 5111 JOHNSON DR
City PLEASANTON
State CA
Zip Code 94588-3343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306162219 Mandy Anne Witthar Case Manager/Care Coordinator 5111 Johnson Dr, Pleasanton, CA 94588-3343 2010-04-16
1902442627 Nabihah Zehra Basravi Behavior Technician 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-11-18
1902448293 Morgan Jeppesen Behavioral Analyst 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-10-08
1881245496 Edward Anthony Steinway Behavior Technician 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-09-25
1700436623 Chrysell Hayley Behavior Technician 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-09-12
1962058099 Riya Milind Vaidya Behavioral Analyst 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-08-14
1053967190 Bree Elena Underwood Behavioral Analyst 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-08-14
1982269619 Vien Huynh Behavioral Analyst 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-05-08
1619532207 Nicole Ariel Blair Behavior Technician 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-05-08
1538620026 Rohit Nitin Shingate Behavior Technician 5111 Johnson Dr, Pleasanton, CA 94588-3343 2019-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255932786 Kabafusion, LLC Durable Medical Equipment & Medical Supplies 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 2020-11-02
1619519691 Vanessa Baldwin Behavior Technician 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 2019-10-11
1184187783 Amanda Singh Behavior Technician 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 2019-04-10
1891262192 Virginia Zamora Behavior Technician 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 2018-10-25
1891275368 Ixchel N Baltazar Behavioral Analyst 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 2018-08-15
1386149409 Monique Imanii Brown Behavioral Analyst 511 Johnson Drive, Pleasanton, CA 94588 2018-03-29
1922509710 Cierra Marie Barton Behavioral Analyst 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 2018-02-27
1851800056 Delisa Simon Nurse Practitioner 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 2017-09-20
1831611409 One Health Hospice, Inc. Hospice Care, Community Based 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 2017-07-14
1114478641 Carlos Gavino Behavior Technician 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 2016-10-19
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619519691 Vanessa Baldwin Behavior Technician 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 2019-10-11
1215578554 Brandon Kinsey Behavior Technician 4343 Addison Way, Pleasanton, CA 94588-3901 2019-10-07
1528629474 Jimmie Jones Behavior Technician 8055 Mountain View Dr Apt B, Pleasanton, CA 94588-4745 2019-06-21
1184187783 Amanda Singh Behavior Technician 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 2019-04-10
1861960668 Melissa A Kahn Behavior Technician 5716 Owens Dr Apt 103, Pleasanton, CA 94588-4608 2018-11-09
1891262192 Virginia Zamora Behavior Technician 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 2018-10-25
1922574375 Deneen Allmond Behavior Technician 5820 Stoneridge Mall Rd Ste 205302, Pleasanton, CA 94588-3274 2018-10-23
1770089807 Katherine Sanchez Behavior Technician 5820 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588-3347 2018-04-05
1760985477 Thalia Lita Behavior Technician 5820 Stoneridge Mall Rd. Suite 205, Pleasanton, CA 94588-4025 2018-03-09
1558861286 Lorena Fiorda Ress Behavior Technician 5820 Stnrge Mall Rd Ste 205, Pleasanton, CA 94588-3347 2018-02-19
Find all providers in PLEASANTON

Competitor

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City PLEASANTON
Zip Code 94588

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Dataset Information

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.

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