CDIA PARKER (NPI# 1922653906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922653906 |
| Entity Type | Individual |
| Full Name | CDIA PARKER |
| Practice Address |
4196 Douglas Blvd Granite Bay CA 95746-5904 |
| Mailing Address |
Po Box 5157 Modesto CA 95352-5157 |
| Practice Telephone | 9164891376 |
| Practice Fax Number | 9164891386 |
| Mailing Telephone | 2095722589 |
| Mailing Fax Number | 2095721461 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| Street Address |
4196 DOUGLAS BLVD |
| City | GRANITE BAY |
| State | CA |
| Zip Code | 95746-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164943965 | Alexandra Ostry | Behavioral Analyst | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2017-06-30 |
| 1588263156 | Lauren Degolia | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-23 |
| 1255939666 | Richard Koenig | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-16 |
| 1467050146 | Abigail Battenfield | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-14 |
| 1447857412 | Gail Ward | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-02 |
| 1144836784 | Lacey Burr | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-18 |
| 1265048094 | Andrei Deloso | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-17 |
| 1689289001 | Rusul Hadi | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-11 |
| 1437763919 | Jazlyn Diaz Salas | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-02 |
| 1043822570 | Alexandra Guilfoyle | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901672 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5525 Stallman Cavitt Road, Granite Bay, CA 95746 | 2017-09-12 |
| 1255787719 | Gurveen Atwal | Counselor | 511 Carthage Court, Granite Bay, CA 95746 | 2016-05-13 |
| 1407219181 | Sarah Choi Allen | General Acute Care Hospital | 8941 Wexford Circle, Granite Bay, CA 95746 | 2016-03-31 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1467726968 | Fareeha Bushra Sattar | Family Medicine | 9486 Swan Lake Dr, Granite Bay, CA 95746 | 2012-02-29 |
| 1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
| 1013151042 | Julia Margaret Black | Marriage & Family Therapist | 6049 Douglas Blvd., Suite 19, Granite Bay, CA 95746 | 2009-04-21 |
| 1366622532 | Marina V Milstein | Dentist | 7095 Douglas Blvd, Suite A, Granite Bay, CA 95746 | 2007-11-05 |
| 1154527398 | Sandra Kay Baker | Social Worker | 9123 Oakhollow Ct, Granite Bay, CA 95746 | 2007-06-25 |
| 1497965107 | Barry Hoffman | Dentist | 9035 Camino Del Avion, Granite Bay, CA 95746 | 2007-05-23 |
| Find all providers in zip 95746 | ||||
| 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 |
|---|---|---|---|---|
| 1043867476 | Kyle Girard | Behavior Technician | 9324 Crocker Rd, Granite Bay, CA 95746-6728 | 2019-08-21 |
| 1023557220 | Jennifer Darquea | Behavior Technician | 9060 Camino Del Avion, Granite Bay, CA 95746-5856 | 2017-02-21 |
| 1588263156 | Lauren Degolia | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-23 |
| 1255939666 | Richard Koenig | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-16 |
| 1467050146 | Abigail Battenfield | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-14 |
| 1447857412 | Gail Ward | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-10-02 |
| 1750998225 | Albert Anthony Gomez | Behavior Technician | 4196 Douglas Blvd Ste 100, Granite Bay, CA 95746-5904 | 2020-09-28 |
| 1144836784 | Lacey Burr | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-18 |
| 1265048094 | Andrei Deloso | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-17 |
| 1689289001 | Rusul Hadi | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2020-09-11 |
| Find all providers in GRANITE BAY | ||||
| City | GRANITE BAY |
| Zip Code | 95746 |
Please comment or provide details below to improve the information on CDIA PARKER.
| 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.