MATTHEW SANDSTROM (NPI# 1104398924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104398924 |
| Entity Type | Individual |
| Full Name | MATTHEW SANDSTROM |
| Practice Address |
2307 Ne 4th St Apt D203 Renton WA 98056-4097 |
| Practice Telephone | 4255890625 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | WA | Behavioral Health & Social Service Providers | |
| N | 106E00000X | Assistant Behavior Analyst | WA | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 111524501 | 05 |
| Street Address |
2307 NE 4TH ST APT D203 |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| 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 |
|---|---|---|---|---|
| 1972075521 | Aim Star Learning, Pllc | Behavioral Analyst | 716 Mt Baker Ave Ne, Renton, WA 98059-4835 | 2018-12-20 |
| 1811434111 | Hiu Yee Lai | Behavioral Analyst | 5160 Ne 20th St, Renton, WA 98059-4100 | 2017-01-24 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1972958577 | Roxanne Marie Borders | Behavioral Analyst | 253 Ferndale Ave Ne, Renton, WA 98056-5810 | 2016-05-02 |
| 1285008094 | Christopher Jon Roberts | Behavioral Analyst | 14201 Se Petrovitsky Rd, Suite A3-142, Renton, WA 98058-8986 | 2015-11-17 |
| 1376940841 | Miles Ausen | Behavioral Analyst | 10842 Se 190th St, Renton, WA 98055-7101 | 2014-11-29 |
| 1326473257 | Elizabeth Ann Mashburn | Behavioral Analyst | 1201 S 18th St, Apt #2, Renton, WA 98055-3560 | 2013-09-11 |
| 1790027308 | Andrea Newcomer | Behavioral Analyst | 3915 Ne 3rd Pl, Renton, WA 98056-4129 | 2013-03-21 |
| 1063750412 | Keri M D'hondt | Behavioral Analyst | 1819 Redmond Pl Ne, Renton, WA 98056-3388 | 2013-01-18 |
| 1013267509 | Ashley Justine Rizzuto | Behavioral Analyst | 1357 Elma Pl Ne, Renton, WA 98059-4092 | 2012-09-12 |
| Find all providers in RENTON | ||||
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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.