JESSICA MAREE GUSTAFSON (NPI# 1093353302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093353302 |
| Entity Type | Individual |
| Full Name | JESSICA MAREE GUSTAFSON |
| Practice Address |
601 W 1st Ave Ste 400 Spokane WA 99201-3817 |
| Practice Telephone | 8183452345 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W 1st Ave Ste 400, Spokane, WA 992013817 | 8183452345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538450978 | Jessica Anne Gustafson | Physician Assistant | 15470 E Smoky Hill Rd, Aurora, CO 80015-1402 | 2011-04-19 |
| Street Address |
601 W 1ST AVE STE 400 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| 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 |
|---|---|---|---|---|
| 1821601162 | Baylee Helene Parker | Behavior Technician | 1101 W College Ave # 345, Spokane, WA 99201-2010 | 2020-08-26 |
| 1366055824 | Celine Marie Garcia | Behavior Technician | Leaps and Beyond Inc 111 E Central Ave, Spokane, WA 99208-1108 | 2020-08-25 |
| 1770192718 | Masaiuneek Mcclarron | Behavior Technician | 5112 N Adams St, Spokane, WA 99205-5410 | 2020-07-27 |
| 1548808785 | Ilinca A Ionescu | Behavior Technician | 6404 S Helena St, Spokane, WA 99223-8347 | 2019-12-18 |
| 1538707914 | Aleda Honablue | Behavior Technician | 1819 E Springfield Ave Ste 106, Spokane, WA 99202-2954 | 2019-12-16 |
| 1114563285 | Taylor Berntson | Behavior Technician | 1819 E Springfield Ave # H, Spokane, WA 99202-2954 | 2019-11-22 |
| 1033769047 | Angilene Dawn Smith | Behavior Technician | 157 S Howard St, Spokane, WA 99201-4422 | 2019-09-12 |
| 1588212799 | Dana Parkin | Behavior Technician | 1819 E Springfield Ave Ste 10, Spokane, WA 99202-2954 | 2019-08-30 |
| 1639632698 | Keziah Mayers | Behavior Technician | 157 S Howard St Ste 300, Spokane, WA 99201-4422 | 2019-04-08 |
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| Find all providers in SPOKANE | ||||
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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.