MR. NATHAN PERRY (NPI# 1215178363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215178363 |
| Entity Type | Individual |
| Full Name | MR. NATHAN PERRY |
| Credential | B.A. |
| Practice Address |
4515 Sw Country Club Dr Corvallis OR 97333-1353 |
| Practice Telephone | 5417578068 |
| Practice Fax Number | 5417581030 |
| Mailing Telephone | 5417578068 |
| Mailing Fax Number | 5417581030 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073613295 | Nathan Perry Jr. | Internal Medicine | 1301 Monument Rd, Suite 21, Jacksonville, FL 32225-7407 | 2006-09-25 |
| 1194347450 | Nathan Perry | Radiologic Technologist | 1802 6th Ave S, Birmingham, AL 35233-1932 | 2020-05-09 |
| 1356908651 | Nathan Neal Perry | Counselor | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2019-05-22 |
| 1710346234 | Nathan J Perry | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2016-02-11 |
| Street Address |
4515 SW COUNTRY CLUB DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669549036 | Leslie Y Dobkins | Occupational Therapist | 4515 Sw Country Club Dr, Corvallis, OR 97333 | 2006-11-29 |
| 1518250075 | Terrie Haworth | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2011-05-17 |
| 1972814879 | Amanda Sigal | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2010-06-24 |
| 1043542426 | Todd Embree | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2010-02-09 |
| 1184956567 | Lindsey Sterrett | Case Manager/Care Coordinator | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2010-02-09 |
| 1164758884 | Tanya S Kramer | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2009-10-30 |
| 1275764599 | Sadaf M Siala | Case Manager/Care Coordinator | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2009-08-04 |
| 1629208855 | Jessica Carroll | Case Manager/Care Coordinator | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2009-07-22 |
| 1124269139 | Malia Virginia Arenth | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2009-03-20 |
| 1669625919 | Geoffrey Mathews | Counselor | 4515 Sw Country Club Dr, Corvallis, OR 97333-1353 | 2008-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1972071140 | Kelly Hoffman Herigstad-franz | Behavioral Analyst | 780 Nw 25th St Apt 16, Corvallis, OR 97330-5445 | 2018-11-06 |
| 1477040715 | Kayla Danielle Herbison | Behavioral Analyst | 750 Nw 21st St Apt 2d, Corvallis, OR 97330-5855 | 2018-04-20 |
| 1013368745 | Daniel Keifala Swaray | Behavioral Analyst | 4455 Ne Hwy 20, Corvallis, 4455, Corvallis, OR 97330 | 2016-06-23 |
| 1871055061 | Jayciff Duane Vogt | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2019-04-05 |
| 1992221642 | Mary Louise Johnson | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-15 |
| 1265957633 | Nathan Morales | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-07 |
| 1114442654 | Jordan Draper | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-05 |
| 1023533569 | Patricia Cheyenne Johnson | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-05 |
| 1417472929 | Lucas Hammond | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-08-04 |
| 1821527052 | Alexis Eastwood | Behavioral Analyst | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-06-10 |
| Find all providers in CORVALLIS | ||||
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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.