MRS. ELLIS PETRONELLA VAN DEN BOOGAARD MS ED., MA
NPI 1891514824
Behavior Technician in San Diego, CA

Active since October 07, 2024
5335 CALLE VIS, SAN DIEGO, CA 92109(858) 882-7860 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ellis Petronella Van Den Boogaard Ms Ed., Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLIS PETRONELLA VAN DEN BOOGAARD MS ED., MA (NPI 1891514824) is an individual behavior technician in San Diego, California, licensed in California (23-294299) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1891514824
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. ELLIS PETRONELLA VAN DEN BOOGAARDCredential: MS ED., MA
Location Address5335 CALLE VISSan Diego, CA 92109-1920
Mailing Address251 Airport RdOceanside, CA 92058-1201 · (760) 072-1170
Sole ProprietorNo
Enumeration DateOctober 7, 2024
NPPES CertifiedSeptember 30, 2024
NPI 1891514824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Licenses Licensed in CA · 23-294299 Licensed in CA · 19-109521
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.
5335 CALLE VIS, San Diego, CA 92109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Van Den Boogaard's NPI number?

The NPI number for Ellis Van Den Boogaard is 1891514824. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Ellis Van Den Boogaard located?

Ellis Van Den Boogaard practices at 5335 Calle Vis, San Diego, CA 92109. The listed phone number is (858) 882-7860.

What is Ellis Van Den Boogaard's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ellis Van Den Boogaard was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.