BRANDALL BUCK BUCKLES JR. (NPI# 1902440274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902440274 |
| Entity Type | Individual |
| Full Name | BRANDALL BUCK BUCKLES JR. |
| Practice Address |
321 Van Houten Ave El Cajon CA 92020-5128 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6193830704 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | F7915732 | CA | Behavioral Health & Social Service Providers |
| Street Address |
321 VAN HOUTEN AVE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710491576 | Maricris Falculan | Behavioral Analyst | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2017-11-30 |
| 1003441213 | Reema M Maayaa | Behavioral Analyst | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2020-03-08 |
| 1326673534 | Maria Elena Cotton | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2020-03-08 |
| 1952931701 | Lacy Renee Pridemore | Behavioral Analyst | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2020-01-21 |
| 1992341309 | Stacia N Smith | Behavioral Analyst | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-11-20 |
| 1699319632 | Sara Guinan | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-11-02 |
| 1588207575 | Katlin Florita Rose Slatt | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-10-22 |
| 1760033351 | Christopher Badalof | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-09-25 |
| 1558910703 | Anindita Abinash Roy | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-09-10 |
| 1174172928 | Seth M Maron | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
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| 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 |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1437703642 | Peyton Disenso | Behavior Technician | 206 Roanoke Rd Apt 19, El Cajon, CA 92020-4069 | 2019-07-25 |
| 1427611235 | Rocio Trujillo | Behavior Technician | 990 W Renette Ave, El Cajon, CA 92020-5737 | 2019-04-17 |
| 1720541808 | Bailie Guerrero | Behavior Technician | 434 Sandalwood Dr, El Cajon, CA 92021-5453 | 2019-04-07 |
| 1891201067 | Rana Theresa Farida | Behavior Technician | 2144 Hidden Springs Dr, El Cajon, CA 92019-5800 | 2017-12-23 |
| 1841715224 | Jessica Yvonne Maasch | Behavior Technician | 712 Van Horn Rd, El Cajon, CA 92019-3514 | 2017-08-07 |
| 1326673534 | Maria Elena Cotton | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2020-03-08 |
| 1699319632 | Sara Guinan | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-11-02 |
| 1588207575 | Katlin Florita Rose Slatt | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-10-22 |
| 1760033351 | Christopher Badalof | Behavior Technician | 321 Van Houten Ave, El Cajon, CA 92020-5128 | 2019-09-25 |
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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.