BENJAMIN JAMES LEIBOLD


Address: 610 Bercut Drive, Suite B, Sacramento, CA 95811
Phone: 9164432479

BENJAMIN JAMES LEIBOLD (NPI# 1992202345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992202345
Entity Type Individual
Full Name BENJAMIN JAMES LEIBOLD
Practice Address 610 Bercut Drive
Suite B
Sacramento
CA 95811
Mailing Address 9078 Geyser Peak Way
Sacramento
CA 95829-1251
Practice Telephone 9164432479
Enumeration Date 2018-04-11
Last Update Date 2018-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician CA Behavioral Health & Social Service Providers

Office Location

Street Address 610 BERCUT DRIVE
SUITE B
City SACRAMENTO
State CA
Zip Code 95811

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154891190 Teresa Sy Behavior Technician 610 Bercut Dr. Suite B, Sacramento, CA 95811 2018-12-03
1669948212 Micaela Badue Counselor 401 S St., Sacramento, CA 95811 2018-10-22
1669956801 Andrea Martinez Counselor 600 Bercut Dr., Sacramento, CA 95811 2018-09-24
1174000855 Clinicians Connect Care Home Health & Hospice Services Home Health 716 19th Street, Suite 200, Sacramento, CA 95811 2018-07-25
1669979233 Aja Jones Counselor 401 S Street, Sacramento, CA 95811 2018-04-10
1821511916 Lucas John Monaco Counselor 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 2017-07-20
1275089963 Sergio Vicuna, D.d.s., Inc Dentist 1804 19th St, Suite 100, Sacramento, CA 95811 2016-09-01
1386057495 Chelsea Turner Counselor 600 Bercut Drive, Sacramento, CA 95811 2014-06-05
1427473636 Sidney Caldwell Counselor 401 S Street Sacramento, Sacramento, CA 95811 2014-02-25
1265773394 Jacquelyn L Rivers Social Worker 1400 North A Street, Building A, Sacramento, CA 95811 2013-03-14
Find all providers in zip 95811

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801497821 Daisia Newman Behavior Technician 3038 Great Egret Way, Sacramento, CA 95834-1096 2020-11-05
1366041105 Brooke Doutherd Behavior Technician 204 Selby Ranch Rd Apt 7, Sacramento, CA 95864-5812 2020-10-22
1740889633 Catherine Andrade Behavior Technician 7958 Pocket Rd Apt 67, Sacramento, CA 95831-5713 2020-10-21
1962009308 Andrea Isabel Morales Behavior Technician 333 University Avenue, Suite 200, Sacramento, CA 95825 2020-10-08
1609473156 Joshua A Soto Behavior Technician 1300 Ethan Way Ste 100, Sacramento, CA 95825-2295 2020-10-07
1184231714 Nancy Vue Behavior Technician 276 Olmstead Dr, Sacramento, CA 95838-4742 2020-09-28
1609482090 Javonte Wills Behavior Technician 511 9th St Apt 2, Sacramento, CA 95814-1340 2020-09-21
1861006850 Ayanna Enzy Johnson Behavior Technician 1400 Brewerton Dr, Sacramento, CA 95833-1981 2020-09-07
1740894138 Esmeralda Rodriguez Behavior Technician 725 Howe Ave Apt 66, Sacramento, CA 95825-4612 2020-09-02
1881207413 Angela Santana Behavior Technician 1451 River Park Dr Ste 400, Sacramento, CA 95815-4507 2020-08-24
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Competitor

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City SACRAMENTO
Zip Code 95811

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Dataset Information

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.

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