JEREMY PAUL BOWDEN (NPI# 1912429465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912429465 |
| Entity Type | Individual |
| Full Name | JEREMY PAUL BOWDEN |
| Practice Address |
1115 W Balboa Blvd Newport Beach CA 92661-1037 |
| Mailing Address |
2940 Peppertree Ln Apt D Costa Mesa CA 92626-3850 |
| Practice Telephone | 9496753764 |
| Practice Fax Number | 9496755797 |
| Mailing Telephone | 9492541344 |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2017-07-15 |
| 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 |
1115 W BALBOA BLVD |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92661-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811283278 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2011-06-23 |
| 1477053767 | Jason Patrick Pate I | Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2018-02-14 |
| 1396259875 | Joshua Lecker | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-11-20 |
| 1104358589 | Holly Kuhn | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487030177 | Kaylin Zabienski | Marriage & Family Therapist | 933 W Balboa Blvd Apt B, Newport Beach, CA 92661-1001 | 2015-08-04 |
| 1285920520 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1217 W Bay Ave, Newport Beach, CA 92661-1018 | 2011-06-24 |
| 1841721453 | Carl Matthew Adler | Behavior Technician | 1115 W Balboa Blvd Apt 5, Newport Beach, CA 92661-1037 | 2017-03-24 |
| 1124205067 | Kelli A. Fox | Hospice Care, Community Based | 1230 W Balboa Blvd, #e, Newport Beach, CA 92661-1061 | 2008-01-22 |
| 1194921270 | Balboa Horizons Recovery Services Lp | Substance Abuse Rehabilitation Facility | 1132 W Balboa Blvd, Newport Beach, CA 92661-1091 | 2007-06-25 |
| 1841847654 | True Recovery Inc. | Clinic/Center | 1132 W Balboa Blvd, Newport Beach, CA 92661-1091 | 2019-08-26 |
| 1114393105 | Robert Davis | Licensed Vocational Nurse | 821 1/2 W Balboa Blvd, Newport Beach, CA 92661-1107 | 2015-08-13 |
| 1801891684 | Philip Westbrook | Internal Medicine | 330 Montero St, Newport Beach, CA 92661-1134 | 2005-06-17 |
| 1255574406 | Susan T Fusaro | Social Worker | 102 E Bay Ave Apt 2, Newport Beach, CA 92661-1152 | 2009-04-16 |
| 1922271709 | Robert Lester Hampton IIi | Psychiatry & Neurology | 615 W Bay Ave, Newport Beach, CA 92661-1157 | 2008-04-11 |
| Find all providers in zip 92661 | ||||
| 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 |
|---|---|---|---|---|
| 1346875291 | Morgan Faith Killen | Behavior Technician | 1935 Sherington Pl Apt F102, Newport Beach, CA 92663-6014 | 2020-03-10 |
| 1477087740 | Collin Weeden | Behavior Technician | 3419 Via Lido # 309, Newport Beach, CA 92663-3908 | 2017-04-13 |
| 1841721453 | Carl Matthew Adler | Behavior Technician | 1115 W Balboa Blvd Apt 5, Newport Beach, CA 92661-1037 | 2017-03-24 |
| 1528693470 | Celeste Josefina Romo | Behavior Technician | 4695 Macarthur Ct, Newport Beach, CA 92660-1882 | 2020-03-10 |
| 1326690447 | Jocelyn Garcia | Behavior Technician | 1151 Dove St Ste 105, Newport Beach, CA 92660-2805 | 2019-07-09 |
| 1083266134 | David Leon | Behavior Technician | 1151 Dove St Ste 202, Newport Beach, CA 92660-2853 | 2019-07-09 |
| 1174175293 | Valerie Guzman | Behavior Technician | 1151 Dove St Ste 150, Newport Beach, CA 92660-2837 | 2019-07-09 |
| 1174175236 | Kimberly Villarreal | Behavior Technician | 1151 Dove St Ste 150, Newport Beach, CA 92660-2837 | 2019-07-09 |
| 1053976274 | Maria Celene Canlas | Behavior Technician | 1151 Dove St Ste 150, Newport Beach, CA 92660-2837 | 2019-05-02 |
| 1952966319 | Donna Montoya | Behavior Technician | 1151 Dove St, Newport Beach, CA 92660-2840 | 2019-05-01 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92661 |
Please comment or provide details below to improve the information on JEREMY PAUL BOWDEN.
| 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.