JACQUELINE CASTILLO (NPI# 1962023390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962023390 |
| Entity Type | Individual |
| Full Name | JACQUELINE CASTILLO |
| Practice Address |
16410 Bloomfield Ave Ste B Cerritos CA 90703-2144 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 5627604429 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1124435516 | Jacqueline Castillo | Pharmacist | 101 N Federal Hwy, Lake Worth, FL 33460-3435 | 2014-07-17 |
| 1336571090 | Jacqueline Cosme Castillo | Physical Therapist | 3662 Katella Ave, Suite 105, Los Alamitos, CA 90720-3124 | 2013-08-05 |
| 1073865507 | Jacqueline Castillo | Counselor | 3501 Atlantic Ave, Long Beach, CA 90807-4515 | 2012-10-08 |
| 1487962627 | Jacqueline Castillo | Counselor | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2010-09-22 |
| Street Address |
16410 BLOOMFIELD AVE STE B |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144661885 | Marylou Bunn | Rehabilitation Practitioner | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2013-07-10 |
| 1881295731 | Perpetual Emeana | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1508467366 | Karla Galan Perez | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1073114302 | Guadalupe Jasso | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-03 |
| 1780283622 | Areysee Borja | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1073112900 | Krishna Bhakta | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1912506015 | Nallely Morales Vega | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1568061604 | Brianna Delgado | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1801495916 | Vivianna Flores | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1093314106 | Kathryn Barker | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| 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 |
|---|---|---|---|---|
| 1629570452 | Maria Vera | Behavior Technician | 16410 Bloomfield Ave, Cerritos, CA 90703-2144 | 2018-03-07 |
| 1881295731 | Perpetual Emeana | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1508467366 | Karla Galan Perez | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-06 |
| 1073114302 | Guadalupe Jasso | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-11-03 |
| 1780283622 | Areysee Borja | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1073112900 | Krishna Bhakta | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-21 |
| 1912506015 | Nallely Morales Vega | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1568061604 | Brianna Delgado | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1801495916 | Vivianna Flores | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| 1093314106 | Kathryn Barker | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-10-20 |
| Find all providers in CERRITOS | ||||
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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.