KAITLYN DAWN SISK (NPI# 1245843697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245843697 |
| Entity Type | Individual |
| Full Name | KAITLYN DAWN SISK |
| Practice Address |
8282 28th Ct Ne Ste A Lacey WA 98516-7162 |
| Mailing Address |
2570 Ocean Ave Raymond WA 98577-4928 |
| Practice Telephone | 3608190354 |
| Mailing Telephone | 3608190354 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
8282 28TH CT NE STE A |
| City | LACEY |
| State | WA |
| Zip Code | 98516-7162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614361 | Patricia Dean | Behavioral Analyst | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2013-08-30 |
| 1790383537 | Alexandra Johnson | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-10-14 |
| 1255939534 | Sabrina Rochelle Smaciarz | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-10-09 |
| 1306453261 | Paige Brianna Coovert | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-24 |
| 1821604026 | Esmeralda Zarco Vazquez | Behavioral Analyst | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-22 |
| 1518572312 | Mellissa M Storey | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-09 |
| 1417561572 | Heidi L Unroe | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-04 |
| 1407469802 | Kirsten Lynn Hargett | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-08-25 |
| 1841802964 | Taylor Ann Toftemark | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-08-19 |
| 1760094346 | Aliss Barre | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| 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 |
|---|---|---|---|---|
| 1679131288 | Patrick Sheeley Iv | Behavior Technician | 7611 19th Ln Se # 102, Lacey, WA 98503-3477 | 2019-05-30 |
| 1023573839 | Elmer Mcbride | Behavior Technician | 8284 28th Ct Ne, Lacey, WA 98516-7161 | 2019-02-06 |
| 1255807046 | Elexis Tiffany Lees | Behavior Technician | 7617 19th Ln Se Apt 207, Lacey, WA 98503-5309 | 2018-10-18 |
| 1922447572 | Nell Elizabeth Hathaway | Behavior Technician | 9333 Martin Way East, Suite 214, Lacey, WA 98516 | 2013-06-17 |
| 1790383537 | Alexandra Johnson | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-10-14 |
| 1255939534 | Sabrina Rochelle Smaciarz | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-10-09 |
| 1780281287 | Lindsay Demig | Behavior Technician | 8282 28th Ct Ne, Lacey, WA 98516-7162 | 2020-10-07 |
| 1306453261 | Paige Brianna Coovert | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-24 |
| 1518572312 | Mellissa M Storey | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-09 |
| 1417561572 | Heidi L Unroe | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-09-04 |
| Find all providers in LACEY | ||||
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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.