SAMUEL MCDONNELL (NPI# 1073090569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073090569 |
| Entity Type | Individual |
| Full Name | SAMUEL MCDONNELL |
| Practice Address |
10550 Arrow Point Dr Ne Bainbridge Island WA 98110-1468 |
| Practice Telephone | 4159895000 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
10550 ARROW POINT DR NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| 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 |
|---|---|---|---|---|
| 1346637832 | Kendall Paige Voget | Behavior Technician | 10680 Ne Gertie Johnson Rd, Bainbridge Island, WA 98110-4369 | 2015-04-22 |
| 1174179162 | Elizabeth Mae Bonghi | Behavior Technician | 897 Taurnic Pl Nw, Bainbridge Island, WA 98110-2760 | 2019-08-15 |
| 1043799943 | Mary Byrd | Behavior Technician | 9185 Ne Spargur Loop Rd, Bainbridge Island, WA 98110-4150 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234815 | Elizabeth Swanson | Behavior Technician | 1225 Commerce Ave Apt 206, Longview, WA 98632-3042 | 2020-11-01 |
| 1255930830 | Carlyann M Reinmuth | Behavior Technician | 404a 120th St S, Tacoma, WA 98444-5214 | 2020-10-23 |
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1316546542 | Brittnie Nichole Jensen | Behavior Technician | 821 126th Street Ct E, Tacoma, WA 98445-2916 | 2020-10-19 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1720686975 | Katherine E Stark | Behavior Technician | 4173 Greenfish Dr Apt C, Silverdale, WA 98315-9474 | 2020-10-10 |
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1508473703 | Katie Lee Mccann | Behavior Technician | 631 Strander Blvd Ste F, Tukwila, WA 98188-2963 | 2020-09-30 |
| 1407463870 | Andrea F Serrano | Behavior Technician | 7317 S Wilkeson St, Tacoma, WA 98408-1222 | 2020-09-29 |
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on SAMUEL MCDONNELL.
| 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.