MR. NICHOLAS SANTILLANO (NPI# 1003206566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003206566 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS SANTILLANO |
| Credential | BCBA |
| Practice Address |
185 Ne Snohomish Ave Unit 724 White Salmon WA 98672 |
| Mailing Address |
185 Ne Snohomish Ave Unit 724 White Salmon WA 98672-0160 |
| Practice Telephone | 5093966592 |
| Mailing Telephone | 5093966592 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-16838 | PA | Behavioral Health & Social Service Providers |
| Street Address |
185 NE SNOHOMISH AVE UNIT 724 |
| City | WHITE SALMON |
| State | WA |
| Zip Code | 98672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019760 | Kali Dominguez | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2019-05-22 |
| 1659858595 | Cheryl Reetz | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-07-24 |
| 1548757032 | Kaitlyn Parker-lee | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-04-19 |
| 1952802654 | Mikkaela D Ruise | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-02-27 |
| 1639678345 | Peggy Reynoso | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-02-08 |
| 1154835841 | Columbia River Gorge Behavior Services, LLC | Behavioral Analyst | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2017-11-17 |
| 1154871002 | Kaitlin Spencer | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570797 | Anna Coughlin | Lactation Consultant, Non-RN | 492 Se Wyers St, White Salmon, WA 98672 | 2020-05-21 |
| 1649541020 | Providence Health & Services Oregon | Clinic/Center | 211 Ne Skyline Dr, White Salmon, WA 98672 | 2012-01-18 |
| 1356645576 | Paul Grim | Counselor | 70 North Estes, White Salmon, WA 98672 | 2011-01-03 |
| 1154623734 | Debra Ann Short | Nurse Practitioner | 181 W. Jewett Blvd, White Salmon, WA 98672 | 2010-12-02 |
| 1366742827 | Eileen L Rock | Mechanotherapist | 145 E Jewett Blvd, Suite #301, White Salmon, WA 98672 | 2010-10-29 |
| 1437389160 | W. Curtis Mathisen D.d.s. | Dentist | 640 N. Main St., White Salmon, WA 98672 | 2009-07-15 |
| 1477702207 | Jeniffer Lee Panko | Specialist | 100 Amour Ct, White Salmon, WA 98672 | 2008-09-17 |
| 1871741447 | Barbara Ann Quinlan | Speech-Language Pathologist | 195 Cherry St., White Salmon, WA 98672 | 2008-09-08 |
| 1548427206 | Aaron A Edwards | Counselor | 432 Ne Tohomish Street, White Salmon, WA 98672 | 2008-05-20 |
| 1699941369 | Ticia Ann Blanck | Psychologist | #70 Estes Ave., White Salmon, WA 98672 | 2008-05-02 |
| Find all providers in zip 98672 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154835841 | Columbia River Gorge Behavior Services, LLC | Behavioral Analyst | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2017-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416900 | Angelica Yu | Behavioral Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
| 1891392254 | Samantha Deanne Beal | Behavioral Analyst | 14736 Rocky Blue Acres Ln, 14736 Rocky Blue Acres Ln Se, Yelm, WA 98597-8006 | 2020-10-07 |
| 1629685466 | Jazmin Keymolen | Behavioral Analyst | 9901 Ne 7th Ave Unit C-16, Vancouver, WA 98685-4523 | 2020-09-25 |
| 1235746355 | Abigail Teresa Gimness | Behavioral Analyst | 700 11th St Apt C5, Bellingham, WA 98225-6232 | 2020-09-24 |
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1841804036 | Ryan Leckie | Behavioral Analyst | 2520 Iron St, Bellingham, WA 98225-3515 | 2020-09-03 |
| 1902410327 | Michele Sevart | Behavioral Analyst | 590 Timber Creek Dr Nw, Issaquah, WA 98027-5650 | 2020-09-02 |
| 1992318323 | Behavior Changes LLC | Behavioral Analyst | 4380 Victory Pl Sw, Port Orchard, WA 98367-7441 | 2020-08-25 |
| 1023620606 | Marquicia Dominguez | Behavioral Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
| 1932719499 | Michael Mcmullen | Behavioral Analyst | 903 144th Street Ct S, Tacoma, WA 98444-3337 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
| City | WHITE SALMON |
| Zip Code | 98672 |
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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.