JASON CHRISTOPHER WICKLUND (NPI# 1174086771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174086771 |
| Entity Type | Individual |
| Full Name | JASON CHRISTOPHER WICKLUND |
| Practice Address |
14434 Ne 8th St Ste 2 Bellevue WA 98007-4146 |
| Mailing Address |
3025b 21st Ave W Seattle WA 98199-2912 |
| Practice Telephone | 4252235126 |
| Mailing Telephone | 5098766088 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033269972 | Jason T Wicklund | Pharmacist | 400 E 5th Ave Ste 201, Spokane, WA 99202-1334 | 2007-01-11 |
| Street Address |
14434 NE 8TH ST STE 2 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568900199 | Pamela Lyons | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-02-02 |
| 1184287450 | Suraya M Yosof | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2019-04-22 |
| 1275095424 | Abigail Josephine Bauer | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2019-04-04 |
| 1083179766 | Katherine Thorne | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2019-02-06 |
| 1174097901 | Anna Margo Austing | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2019-01-15 |
| 1033625538 | Kaneisha Butts | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-12-19 |
| 1679092647 | Harsimranpreet Singh | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-09-11 |
| 1164948147 | Erin Damitio | Behavior Technician | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-08-21 |
| 1952827958 | Kelly Angeloty | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| 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 |
|---|---|---|---|---|
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1780299107 | Leo Anthony Perucca | Behavior Technician | 12826 Se 40th Ln Ste A10, Bellevue, WA 98006-5266 | 2020-09-11 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1083250096 | Andrew Zemanek | Behavior Technician | 12729 Northup Way Ste 102, Bellevue, WA 98005-1935 | 2019-11-25 |
| 1043865975 | Aaron Struss | Behavior Technician | 2018 156th Ave Ne Ste 100, Bellevue, WA 98007-3825 | 2019-08-07 |
| 1619521473 | Isatou Daffeh | Behavior Technician | 13333 Ne Bel Red Rd Ste Unit, Bellevue, WA 98005-2332 | 2019-07-30 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1821568239 | Logan G Carter | Behavior Technician | 15315 Se 25th St, Bellevue, WA 98007-6501 | 2018-11-28 |
| 1902399553 | Maria Guadalupe Ojeda Rosas | Behavior Technician | 4935 Aspen Dr, Bellevue, NE 68157-2241 | 2018-06-08 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on JASON CHRISTOPHER WICKLUND.
| 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.