RYN SHENDOW (NPI# 1053761163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053761163 |
| Entity Type | Individual |
| Full Name | RYN SHENDOW |
| Practice Address |
1800 Cooper Point Rd Sw Ste 21 Olympia WA 98502-1179 |
| Mailing Address |
Po Box 6286 Olympia WA 98507-6286 |
| Practice Telephone | 3608101547 |
| Mailing Telephone | 3608101547 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | WA | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3022 Saint James Ct Nw, Olympia, WA 98502 | 8016647490 |
| Street Address |
1800 COOPER POINT RD SW STE 21 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073945804 | Kelli Vance | Behavioral Analyst | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2013-08-03 |
| 1346840048 | Eduardo Vargas | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-30 |
| 1427658111 | Mariah Brooke Foster | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-30 |
| 1265031058 | Vernelle Whitney Whetstone-miranda | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-22 |
| 1528685393 | Tiasha L Cobbs | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-06-28 |
| 1235758830 | Mackenzie Jane Judith Bentdahl-balcom | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-04-13 |
| 1699327452 | Stephanie M Keahey | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2019-07-11 |
| 1184283996 | Ryan Neese | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2019-06-06 |
| 1750940490 | David Rios Quitugua Iv Iv | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2019-06-06 |
| 1811552334 | Desiree Garrett | Behavioral Analyst | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
|---|---|---|---|---|
| 1750929998 | Aaliyah Raheemah Imran | Behavior Technician | 4211 20th Ln Ne, Olympia, WA 98516-3730 | 2019-12-18 |
| 1659918506 | Ji Ahn | Behavior Technician | 3411 22nd Way Ne, Olympia, WA 98506-7010 | 2019-12-10 |
| 1992354542 | Genesis Saulsman | Behavior Technician | 1800 Cooper Pt Rd Sw Ste 21, Olympia, WA 98502-1179 | 2019-09-06 |
| 1649750357 | Lauren Waldinger | Behavior Technician | 600 Boulevard Rd Se Unit A, Olympia, WA 98501-1911 | 2018-08-21 |
| 1164938338 | Alexa Danielle Foster | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2017-12-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1346840048 | Eduardo Vargas | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-30 |
| 1427658111 | Mariah Brooke Foster | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-30 |
| 1265031058 | Vernelle Whitney Whetstone-miranda | Behavior Technician | 1800 Cooper Point Rd Sw Ste 21, Olympia, WA 98502-1179 | 2020-10-22 |
| 1235746595 | Ginaly M Osorio | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2020-09-30 |
| Find all providers in OLYMPIA | ||||
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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.