SIERRA ROSE SMITH


Address: 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629
Phone: 5039125502

SIERRA ROSE SMITH (NPI# 1336783448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336783448
Entity Type Individual
Full Name SIERRA ROSE SMITH
Practice Address 912 Ne Kelly Ave # 100c
Gresham
OR 97030-5629
Mailing Address 21600 Oxnard St Ste 1800
Woodland Hills
CA 91367-7807
Practice Telephone 5039125502
Mailing Telephone 8183452345
Enumeration Date 2019-10-31
Last Update Date 2019-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Providers SIERRA SMITH

NPI Name Taxonomy Address Enumeration
1407466105 Sierra Smith Speech-Language Pathologist 1233 W Holtz Ave, Addison, IL 60101-2161 2020-08-06
1881215002 Sierra Smith Specialist/Technologist 6301 S Halsted St, Chicago, IL 60621-2709 2020-04-28
1083267314 Sierra Lynn Smith Counselor 1241 E Dyer Rd Ste 120, Santa Ana, CA 92705-5611 2019-07-16
1194299008 Sierra Paige Smith Specialist/Technologist 2175 Emerald Ct, Merritt Island, FL 32953-3007 2019-01-14
1457908907 Sierra Aundrea Smith Student in an Organized Health Care Education/Training Program 5125 N Market St, Spokane, WA 99217-6131 2019-08-20
1518512508 Sierra Smith Pharmacist 400 Highland Ave, Lewistown, PA 17044-1167 2019-08-06
1720632177 Sierra Smith Acupuncturist 3921 Steck Ave Ste A100, Austin, TX 78759-0006 2019-07-24
1083267249 Sierra Smith Counselor 1925 E Dakota Ave, Fresno, CA 93726-4821 2019-07-17
1013571926 Sierra L Smith Nurse's Aide 1100 Lake View Dr, Wausau, WI 54403-6799 2019-04-25
1801383864 Sierra Alexandra Smith Behavior Technician 4201 N I 10 Service Rd W, Metairie, LA 70006-6713 2018-04-16

Office Location

Street Address 912 NE KELLY AVE # 100C
City GRESHAM
State OR
Zip Code 97030-5629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154812139 Megan Mercedes Cooper Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2018-05-24
1689208225 Liliana Marie Moore Lopez Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2020-02-22
1083247878 Ileana G Gonzalez Behavioral Analyst 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2020-02-20
1992338677 Ana Georgina Acosta Behavioral Analyst 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2020-02-20
1760027403 Pedro S Lopez Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-11-15
1841831401 Tabitha C Tate Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-10-04
1205477288 Beatrice Seman Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-10-01
1376193326 Nikita Jewel Meade Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-09-11
1831746197 Sydni Denise Jain-redmond Behavior Technician 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-08-21
1124673603 Arlo Roy Rudy Behavioral Analyst 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2019-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336509603 Jennifer Rose Cox Behavioral Analyst 1851 Nw Civic Dr, Gresham, OR 97030-5566 2016-03-01
1043543572 Natalie Dawn Wilson Behavioral Analyst 97 Sw Riverview Place, Gresham, OR 97080 2009-09-16
1083247878 Ileana G Gonzalez Behavioral Analyst 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2020-02-20
1992338677 Ana Georgina Acosta Behavioral Analyst 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 2020-02-20
1588204382 Julia Erin Moore Behavioral Analyst 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 2020-01-09
1922645431 Yamile J Correa Behavioral Analyst 912 Ne Kelly Ave, Gresham, OR 97030-5629 2019-12-03
1316581291 Shea Marie Gowdy Behavioral Analyst 912 Ne Kelly Ave Ste 100, Gresham, OR 97030-5631 2019-11-04
1538703558 Selam Kahassay Behavioral Analyst 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 2019-11-01
1003450222 Hailee Tyne Fischer Behavioral Analyst 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 2019-10-30
1225688591 Kendra Migliacci Behavioral Analyst 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 2019-09-18
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

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.

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