CAITLIN BASCARA (NPI# 1164064523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064523 |
| Entity Type | Individual |
| Full Name | CAITLIN BASCARA |
| Practice Address |
12901 Se 97th Ave Ste 180 Clackamas OR 97015-7903 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9712066337 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| 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 |
|---|---|---|
| 12901 Se 97th Ave Ste 180, Clackamas, OR 970157903 | 9712066337 |
| Street Address |
12901 SE 97TH AVE STE 180 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992228506 | Angela Watson | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2017-07-25 |
| 1700411279 | Tyler Danduy Nguyen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-03-05 |
| 1053944736 | Celina Prado | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-20 |
| 1437781671 | Madison Bieker | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-05 |
| 1447881008 | Maria Granados | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1578194288 | Rebecca Hunt | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1407486004 | Kyra June Medgin | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-22 |
| 1952940496 | Kelsi Lynn Davis | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-01 |
| 1932746336 | Arrow Bless | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-04 |
| 1598302044 | Andrew Eric Jensen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1992228506 | Angela Watson | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2017-07-25 |
| 1700411279 | Tyler Danduy Nguyen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-03-05 |
| 1053944736 | Celina Prado | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-20 |
| 1437781671 | Madison Bieker | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-05 |
| 1447881008 | Maria Granados | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1407486004 | Kyra June Medgin | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-22 |
| 1952940496 | Kelsi Lynn Davis | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-01 |
| 1215574223 | Courtney E Wilson | Behavior Technician | 12901 Se 97th Ave, Clackamas, OR 97015-7901 | 2019-12-09 |
| 1598302044 | Andrew Eric Jensen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-03 |
| 1518509207 | Juliana Christine Del Carlo | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-10-14 |
| Find all providers in CLACKAMAS | ||||
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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.