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Deactivated NPI 1902619786 Deactivated / Inactive NPI Female Practitioner

Joanne Cornelio-Calderon , NCMA

Behavior Technician • Petaluma, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joanne Cornelio-Calderon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 28, 2025
NPI Deactivation Date February 27, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Joanne Cornelio-Calderon, NCMA was a registered Behavior Technician practicing in Petaluma, CA. Throughout an active medical career spanning 1 years, Joanne Cornelio-Calderon provided care at the practice location at 755 BAYWOOD DR FL 2 until profile deactivation on 2025-02-27.

Practice Location & Contact Primary Location

Practice Address

755 Baywood Dr Fl 2

Petaluma, CA 949545510

Telephone 4158132204
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Petaluma, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
556 Specialists

Practicing in Petaluma, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Tiffany Lo

Technician, Other

NPI 1124794961
Zhao Jin

Assistant Behavior Analyst

NPI 1154106474
Julia Resultan

Assistant Behavior Analyst

NPI 1174221444
Joanna Villar

Technician, Other

NPI 1194486795
David Girardot , MA

Behavior Analyst

NPI 1225195951

Master of Arts

Michelle Bell

Technician, Other

NPI 1366170870

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 27, 2025

Record deactivated on February 27, 2025

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NPI Profile Deactivated February 26, 2025

Record deactivated on February 26, 2025

NPI Profile Active January 28, 2025

NPI status registered as active in NPPES database

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Updated Practice Location January 28, 2025

Registered at 755 BAYWOOD DR FL 2, PETALUMA, CA 949545510 (Tel: 4158132204)

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Updated Business Mailing Address January 28, 2025

Registered at 7108 S KANNER HWY, STUART, FL 349977462

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Provider Name / Credentials Updated January 28, 2025

Recorded as JOANNE CORNELIO-CALDERON, NCMA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Behavior Technician

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Initial NPI Registration & Enumeration January 28, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902619786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2025
Last Update: January 28, 2025
Deactivation Date: February 27, 2025

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.