ELIZABETH DOUDERA (NPI# 1962966531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962966531 |
| Entity Type | Individual |
| Full Name | ELIZABETH DOUDERA |
| Practice Address |
32565 Golden Lantern Suite B #180 Dana Point CA 92629 |
| Practice Telephone | 7145521317 |
| Mailing Telephone | 7145521317 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
32565 GOLDEN LANTERN SUITE B #180 |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1730647942 | Tyler Wilkens | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1750849964 | Chelsea Caraway | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1669930871 | Mandy Pham | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1578021788 | Grecia Flor | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1487112694 | Mia Mraz | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1104384312 | Natalie Galusha | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-03-06 |
| 1518423292 | Janilet Martinez | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-02-18 |
| 1427514108 | Kennoth Elston | Behavior Technician | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-02-18 |
| 1639633217 | Gabriel Gonzalez | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| 1972852473 | Kristin Marie Beierle | Chiropractor | 32424 Crown Valley Parkway, 201, Dana Point, CA 92629 | 2012-08-30 |
| Find all providers in zip 92629 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1639633217 | Gabriel Gonzalez | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1245794833 | Teresa Munoz | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1427512003 | Arisdelssy Loera | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1154885739 | Jazmin Ayala | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1386108967 | Amber Guzman | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1487118071 | Mary Castillo | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1174087761 | Nicollette Mihaila | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1083178677 | Sarah Ahumada | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| Find all providers in DANA POINT | ||||
| City | DANA POINT |
| Zip Code | 92629 |
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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.