NICOLE MATTILA (NPI# 1982105029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982105029 |
| Entity Type | Individual |
| Full Name | NICOLE MATTILA |
| Practice Address |
27127 Calle Arroyo Ste 1921 San Juan Capistrano CA 92675-2765 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9496616753 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679860449 | Nicole M Mattila | Genetic Counselor, MS | 1417 S Cliff Ave Ste 100, Sioux Falls, SD 57105-1063 | 2011-06-30 |
| Street Address |
27127 CALLE ARROYO STE 1921 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154820744 | Desiree A Sabri | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2018-02-08 |
| 1245793199 | Paige Nicole Corbett | Behavioral Analyst | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-04-08 |
| 1093277105 | Patricia Ann O'brien | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-04-05 |
| 1063973170 | Neil V Holloway | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-03-29 |
| 1720547508 | Donovan Timothy Wildfong | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-03-19 |
| 1629535778 | Christian Emmett Roth | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-02-25 |
| 1629535844 | Sogol Safarian Hamedany | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-02-24 |
| 1083179063 | Janet Jo Sonnier | Assistant Behavior Analyst | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-02-04 |
| 1548746175 | Sharika Earline Williams | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2018-07-17 |
| 1013408392 | Sydney Smith | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2018-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| 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 |
|---|---|---|---|---|
| 1164921706 | Allison Catherine Gordon | Behavior Technician | 27127 Calle Arroyo Ste 1900, San Juan Capistrano, CA 92675-2765 | 2018-02-09 |
| 1154820744 | Desiree A Sabri | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2018-02-08 |
| 1093277105 | Patricia Ann O'brien | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-04-05 |
| 1063973170 | Neil V Holloway | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-03-29 |
| 1720547508 | Donovan Timothy Wildfong | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-03-19 |
| 1821556747 | Sheila Croft | Behavior Technician | 29122 Rancho Viejo Rd, San Juan Capistrano, CA 92675-1018 | 2019-03-10 |
| 1629535778 | Christian Emmett Roth | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-02-25 |
| 1629535844 | Sogol Safarian Hamedany | Behavior Technician | 27127 Calle Arroyo Ste 1921, San Juan Capistrano, CA 92675-2765 | 2019-02-24 |
| 1720544539 | Eley Selim | Behavior Technician | 27127 Calle Arroyo, San Juan Capistrano, CA 92675-2765 | 2019-02-17 |
| 1073097796 | Sabrina Botros | Behavior Technician | 27127 Calle Arroyo, San Juan Capistrano, CA 92675-2765 | 2018-09-19 |
| Find all providers in SAN JUAN CAPISTRANO | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on NICOLE MATTILA.
| 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.