SERENA GRIJALVA OUTHIER (NPI# 1235621665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235621665 |
| Entity Type | Individual |
| Full Name | SERENA GRIJALVA OUTHIER |
| Practice Address |
7200 E Jim Cottrell Circle Palmer AK 99654 |
| Mailing Address |
7200 East Jim Cottrell Circle Palmer AK 99645 |
| Practice Telephone | 9078415757 |
| Mailing Telephone | 9078415757 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-56584 | AK | Behavioral Health & Social Service Providers |
| Street Address |
7200 E JIM COTTRELL CIRCLE |
| City | PALMER |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1144875477 | Kirsten Woodard | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2019-08-05 |
| 1740848472 | Heidi Burns | Occupational Therapy Assistant | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2019-05-29 |
| 1043778020 | Emily Barkley | Physical Therapy Assistant | 7200 E Jim Cottrell Circle, Palmer, AK 99654 | 2019-03-08 |
| 1699245175 | Emmy Wolber | Occupational Therapy Assistant | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2018-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1407324460 | Savannah Syrek | Behavior Technician | 1008 Chestnut St, Palmer, MA 01069-1804 | 2018-11-08 |
| 1396223541 | Emily Williams | Behavior Technician | 14410 E Gunnysack Rd Unit A, Palmer, AK 99645-9019 | 2018-07-31 |
| 1518461086 | Camile Hurst | Behavior Technician | 8290 E Magnificent View Dr, Palmer, AK 99645-8194 | 2018-03-20 |
| 1184123069 | Kimberly Patricia Thompson | Behavior Technician | 668 E Auklet Ave, Palmer, AK 99645-6127 | 2018-02-06 |
| 1578070371 | Kerry Rose Maher | Behavior Technician | 7610 E Palmer Wasilla Hwy # 100, Palmer, AK 99645-8467 | 2018-01-03 |
| 1154850733 | Jennifer Lynn Anderson | Behavior Technician | 3290 S Lakeshore Loop, Palmer, AK 99645-9002 | 2017-06-07 |
| 1407468945 | Zoe Simone Sherer | Behavior Technician | 7610 E Palmer Wasilla Hwy, Palmer, AK 99645-8467 | 2020-08-17 |
| 1487136149 | Meybelin Urieth White | Behavior Technician | 1875 N Belmont Ave, Palmer, AK 99645-8897 | 2018-08-29 |
| 1760962146 | Erica Guice | Behavior Technician | 1875 N Belmont Ave, Palmer, AK 99645-8897 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1033716063 | Dererk Daniel Murray | Behavior Technician | 1072 Dee Ln, North Pole, AK 99705-5319 | 2020-10-02 |
| 1700493434 | Elisabeth Lewis | Behavior Technician | 777 N Crusey St, Wasilla, AK 99654-7100 | 2020-09-27 |
| 1376150169 | Emily Kristine Crager | Behavior Technician | 777 N Crusey St Ste B108, Wasilla, AK 99654-7101 | 2020-09-25 |
| 1558977108 | Bryce Matthew Christianson | Behavior Technician | 300 W Swanson Ave # 512, Wasilla, AK 99654-6844 | 2020-09-18 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1831708932 | Bessie Ann Olney | Behavior Technician | 996 Eastwood Ln, Fairbanks, AK 99712-2138 | 2020-07-24 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1871119875 | David Ray Matthews | Behavior Technician | 19801 War Admiral Rd, Eagle River, AK 99577-8492 | 2020-06-25 |
| 1851916480 | Zachary Vehmeier | Behavior Technician | 831 3rd Ave, Fairbanks, AK 99701-4456 | 2020-06-09 |
| 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.