JACOB RODRIGUEZ (NPI# 1902436124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902436124 |
| Entity Type | Individual |
| Full Name | JACOB RODRIGUEZ |
| Practice Address |
871 Coleman Ave # 209 San Jose CA 95110-1831 |
| Mailing Address |
1663 Mission St Ste 400 San Francisco CA 94103-2485 |
| Practice Telephone | 8772646747 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740837921 | Jacob Rodriguez | Registered Nurse | 428 E 25th St, Baltimore, MD 21218-5304 | 2019-08-21 |
| 1750936902 | Jacob Rodriguez | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2019-08-05 |
| 1922661693 | Jacob I Rodriguez | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2019-04-18 |
| 1831670520 | Jacob Jeffrey Rodriguez | Occupational Therapy Assistant | 2122 Park Bend Dr, Austin, TX 78758-5352 | 2018-08-22 |
| 1881100378 | Jacob Daniel Rodriguez | Physical Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2017-12-19 |
| Street Address |
871 COLEMAN AVE # 209 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383527 | Michelle Gajo | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2019-12-18 |
| 1881294734 | Edwin Perez | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-10-29 |
| 1417577958 | Ali Nasir Warriach | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-04-24 |
| 1487285466 | Victoria Woods | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-01-29 |
| 1780215772 | Phillip Tomaschke | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-01-29 |
| 1609414812 | Jonathan Silveira | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2019-12-18 |
| 1861030082 | Miles Lagunas | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2019-12-18 |
| 1003454232 | Mitra Wesley | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2019-12-18 |
| 1871131003 | Morghan Taylor | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| 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 |
|---|---|---|---|---|
| 1407457583 | Jennifer Carrillo | Behavior Technician | 1682 Virginia Ave Apt 1, San Jose, CA 95116-2944 | 2020-11-04 |
| 1720689268 | Elizabeth Bigelow | Behavior Technician | 5751 Via Monte Dr Apt B, San Jose, CA 95118-3271 | 2020-11-02 |
| 1720685357 | Natia Chitadze | Behavior Technician | 5875 Charlotte Dr Apt 307, San Jose, CA 95123-6871 | 2020-10-06 |
| 1235746306 | Patricia Yazmin Landa Garibay | Behavior Technician | 820 N Jackson Ave, San Jose, CA 95133-1223 | 2020-09-23 |
| 1134739022 | Esperanza Garnica | Behavior Technician | 346 Menker Ave, San Jose, CA 95128-2401 | 2020-08-05 |
| 1629688593 | Jael Nunez Saavedra | Behavior Technician | 1497 Saratoga Ave, San Jose, CA 95129-4938 | 2020-08-05 |
| 1194334839 | Jason Sanders Jr. | Behavior Technician | 1590 De Rose Way, San Jose, CA 95126-4141 | 2020-07-29 |
| 1134738875 | Ugochukwu Kas-osoka | Behavior Technician | 164 Park Sharon Dr, San Jose, CA 95136-2535 | 2020-07-29 |
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1114544376 | Katrina Chua | Behavior Technician | 369 Longhill Ct, San Jose, CA 95138-1392 | 2020-07-02 |
| Find all providers in SAN JOSE | ||||
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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.