ALEXANDRA ELLEN GRUMBOIS (NPI# 1184282881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184282881 |
| Entity Type | Individual |
| Full Name | ALEXANDRA ELLEN GRUMBOIS |
| Practice Address |
156 Boardwalk Way Kelso WA 98626-1880 |
| Practice Telephone | 3604312224 |
| Mailing Telephone | 3604312224 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
156 BOARDWALK WAY |
| City | KELSO |
| State | WA |
| Zip Code | 98626-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1033468822 | Rene Kerry Bohannon-oxford | Counselor | 2707 Pacific Ave North, Kelso, WA 98626 | 2012-09-07 |
| 1447535737 | Nichole Kathleen Allee | Massage Therapist | 109 Nw 1st St., Kelso, WA 98626 | 2011-10-18 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
| 1942318829 | Imholte & Anderson Pllc | Dentist | 409 West Main Street, Kelso, WA 98626 | 2006-08-29 |
| 1922088723 | James Bevan Hollingsworth | Pharmacist | 204 S Pacific Ave, Kelso, WA 98626 | 2006-01-18 |
| 1972021087 | Adreia Jenice Jessop | Registered Nurse | 300 Oak St, Kelso, WA 98626 | 2017-09-08 |
| 1023567310 | Charlene Han | Pharmacist | 205 Three Rivers Dr, Kelso, WA 98626 | 2016-09-27 |
| Find all providers in zip 98626 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1639790421 | Breanna Kraft | Assistant Behavior Analyst | 2317 N 134th St Apt 9, Seattle, WA 98133-7866 | 2020-05-03 |
| 1386265585 | Kate Elizabeth Ross | Assistant Behavior Analyst | Leaps and Beyond Inc 111 E Central Avenue, Spokane, WA 99208-8184 | 2020-04-29 |
| 1407403272 | Christina Suarez | Assistant Behavior Analyst | 2602 S 38th St Ste A, Tacoma, WA 98409-7303 | 2019-08-26 |
| 1376199760 | Juan M Jimenez | Assistant Behavior Analyst | 529 W 6th St, Port Angeles, WA 98362-5805 | 2019-08-13 |
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1255894630 | Kathryn Ann Marie Sweeney | Assistant Behavior Analyst | 803 Sw 139th St, Burien, WA 98166-1219 | 2019-04-11 |
| 1497237887 | Jennifer Marie Ives | Assistant Behavior Analyst | 22845 Se 1st Pl Apt 215, Sammamish, WA 98074-5038 | 2018-08-31 |
| 1699256438 | Katelyn Baker | Assistant Behavior Analyst | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2018-08-28 |
| 1669991824 | Lindsay Mollison | Assistant Behavior Analyst | 22415 Se 231st St, Maple Valley, WA 98038-5000 | 2017-09-19 |
| 1730605676 | Talena Maree Weber | Assistant Behavior Analyst | 157 S Howard St Ste 310, Spokane, WA 99201-4421 | 2017-08-22 |
| Find all providers with the same taxonomy | ||||
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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.