WICKLER BEHAVIORAL CONSULTING (NPI# 1164961025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164961025 |
| Entity Type | Organization |
| Organization Name | WICKLER BEHAVIORAL CONSULTING |
| Practice Address |
632 182nd Street Se Bothell WA 98012 |
| Mailing Address |
632 182nd St Se Bothell WA 98012-6275 |
| Practice Telephone | 4252469784 |
| Mailing Telephone | 4252469784 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MRS. KARLEE D'ANN WICKLER (OWNER) |
| Authorized Official Telephone | 4252469784 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 1-11-8640 | WA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-16-20417 | WA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-16-23299 | WA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | CAAR.CG.60659106 | WA | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-13-14776 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRIVATE INSURANCE | N/A | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WICKLER BEHAVIORAL CONSULTING CORPORATION | 632 182nd St Se, Bothell, WA 98012-6275 |
| Street Address |
632 182ND STREET SE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| 1851798862 | Tran's Nursing Delegation Services | Assisted Living Facility | 201 182nd St. Sw, Bothell, WA 98012 | 2014-11-20 |
| Find all providers in zip 98012 | ||||
| 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 |
|---|---|---|---|---|
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1487294831 | Amy Kroczak | Behavioral Analyst | 105b 182nd Pl Sw, Bothell, WA 98012-6204 | 2020-01-14 |
| 1366081739 | Iyana Dior Galarza | Behavioral Analyst | 18511 126th Ave Ne, Bothell, WA 98011-9345 | 2020-01-02 |
| 1740766781 | Nicholas Van Baak | Behavioral Analyst | 18311 Bothell Everett Hwy Ste 180, Bothell, WA 98012-5241 | 2018-07-12 |
| 1902394661 | Jennie N Courtney-jackson | Behavioral Analyst | 18311 Bothell Everett Hwy Ste 180&260, Bothell, WA 98012-5233 | 2018-04-27 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1023543360 | Laura Beaton | Behavioral Analyst | 632 182nd St Se, Bothell, WA 98012-6275 | 2017-04-24 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1245603513 | Sara Haggard | Behavioral Analyst | 18311 Bothell Everett Hwy Ste 260, Bothell, WA 98012-5233 | 2015-11-08 |
| 1164800249 | Christina Gesell | Behavioral Analyst | 23223 8th Pl W, Bothell, WA 98021-7311 | 2015-05-11 |
| Find all providers in BOTHELL | ||||
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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.