MISS ELEXIS TIFFANY LEES (NPI# 1255807046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255807046 |
| Entity Type | Individual |
| Full Name | MISS ELEXIS TIFFANY LEES |
| Practice Address |
7617 19th Ln Se Apt 207 Lacey WA 98503-5309 |
| Practice Telephone | 3602044702 |
| Mailing Telephone | 3602044702 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7617 19TH LN SE APT 207 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
| 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 |
| 1245843697 | Kaitlyn Dawn Sisk | Behavior Technician | 8282 28th Ct Ne Ste A, Lacey, WA 98516-7162 | 2020-08-26 |
| 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.