PACIFIC NORTHWEST BEHAVIOR, LLC (NPI# 1275020547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275020547 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST BEHAVIOR, LLC |
| Practice Address |
947 E 35th Ave Spokane WA 99203-3163 |
| Practice Telephone | 5099953388 |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |
| Authorized Official Name | STEPHEN SYKORA (BEHAVIOR SPECIALIST) |
| Authorized Official Telephone | 5099953388 |
| Authorized Official Credential | M.ED, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BA60767459 | WA | Behavioral Health & Social Service Providers |
| Street Address |
947 E 35TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609311596 | Hillary Robbins | Behavioral Analyst | 947 E 35th Ave, Spokane, WA 99203-3163 | 2016-12-30 |
| 1902424146 | Jeremy Crisler | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-07-13 |
| 1083232573 | Samantha Renee Jernstrom | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-07-10 |
| 1568085447 | Megan Kathleen Mcdaid-o'neill | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-05-26 |
| 1184253742 | Ann Moloney | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2020-04-06 |
| 1154968428 | Sorcha Connor-boyle | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-12-05 |
| 1356988794 | John Nickerson | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-12-04 |
| 1215578372 | Samantha Cook | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-09-30 |
| 1174184667 | Kathleen Johnson | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-06-25 |
| 1700345394 | Savanna Dutton | Behavior Technician | 947 E 35th Ave, Spokane, WA 99203-3163 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| 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 |
|---|---|---|---|---|
| 1609407378 | Isabelle Valerie Baillargeon-radliff | Behavioral Analyst | 528 E Spokane Falls Blvd # 14, Spokane, WA 99202-5081 | 2020-01-30 |
| 1083252761 | Jared Berry | Behavioral Analyst | 304 W Pacific Ave, Spokane, WA 99201-4320 | 2019-12-12 |
| 1497215024 | Kianna Mi Hearns | Behavioral Analyst | 7206 N Bluegrass St, Spokane, WA 99217-8750 | 2019-03-20 |
| 1366958852 | Lorraine Williams | Behavioral Analyst | 528 E Spokane Blvd Ste 14, Spokane, WA 99202-5081 | 2017-12-19 |
| 1609311596 | Hillary Robbins | Behavioral Analyst | 947 E 35th Ave, Spokane, WA 99203-3163 | 2016-12-30 |
| 1356892541 | Bethany Lynn Palmer | Behavioral Analyst | 528 E Spokane Falls Blvd Ste 13-14, Spokane, WA 99202-5050 | 2016-10-22 |
| 1396292397 | Guy Thomas Weddle | Behavioral Analyst | 9005 N Pamela St, Spokane, WA 99208-8490 | 2016-09-07 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1346795382 | Savannah Warrington | Behavioral Analyst | 601 W 1st Ave Ste 1429, Spokane, WA 99201-3825 | 2016-08-19 |
| 1760872543 | John E Troyer | Behavioral Analyst | 3618 N C St, Spokane, WA 99205-2209 | 2015-01-30 |
| Find all providers in SPOKANE | ||||
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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.