ESTEPHANIE LUA DE LA TORRE (NPI# 1982201786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982201786 |
| Entity Type | Individual |
| Full Name | ESTEPHANIE LUA DE LA TORRE |
| Practice Address |
3425 Coffee Rd Suit C2 Modesto CA 95355-1582 |
| Practice Telephone | 8665234268 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3425 COFFEE RD SUIT C2 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841226149 | Mieczyslaw J. Hetnal | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-06-25 |
| 1912514530 | Jamie Matasci | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-09-28 |
| 1871106427 | Sylvia Gonzalez | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-08-24 |
| 1801427554 | Maya Pearce | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-01-31 |
| 1376914697 | Gretchen Wenaas Arian | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2015-10-13 |
| 1881083194 | Loren Lay | Counselor | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2015-01-10 |
| 1700289816 | Lori Marie Nice | Behavioral Analyst | 3425 Coffee Rd, Modesto, CA 95355 | 2014-10-02 |
| 1831453794 | Ayesha Siddiqua | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2012-06-26 |
| 1306044342 | Lindsay Marie Cunha | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2007-07-10 |
| 1669551255 | Psychiatric Medical Group of Modesto, Inc. | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
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| 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 |
|---|---|---|---|---|
| 1023622206 | Paloma Salcido | Behavior Technician | 5325 Avenue D, Modesto, CA 95358-9445 | 2020-09-03 |
| 1417561812 | Rosalie Martinez | Behavior Technician | 810 1/2 Wright St, Modesto, CA 95350-5952 | 2020-09-02 |
| 1649804683 | Laica Jean Marte | Behavior Technician | 2801 Braden Ave Apt 324, Modesto, CA 95356-0660 | 2020-02-28 |
| 1346880721 | Venice Nomof | Behavior Technician | 420 Fusco Ave, Modesto, CA 95354-1611 | 2020-01-13 |
| 1609334424 | Chanelle Mendoza | Behavior Technician | 3136 Honey Bee Ct, Modesto, CA 95356-0116 | 2019-03-11 |
| 1003386764 | Angelica Hermelinda Nila | Behavior Technician | 2617 Medinah Ct, Modesto, CA 95355-9666 | 2018-11-26 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1992208219 | Ariana Dominguez | Behavior Technician | 1613 Briarwood Dr, Modesto, CA 95355-1522 | 2018-03-13 |
| 1851894497 | Ashley Marie Leal | Behavior Technician | 2908 Amir Pl, Modesto, CA 95355-8724 | 2018-03-09 |
| 1225530884 | Emily Marie Casarez | Behavior Technician | 3425 Coffee Rd Ste 2, Modesto, CA 95355-1582 | 2018-02-28 |
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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.