BENJAMIN ALAN WEST FOWLER (NPI# 1336799915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336799915 |
| Entity Type | Individual |
| Full Name | BENJAMIN ALAN WEST FOWLER |
| Practice Address |
4746 11th Ave Ne Ste 102 Seattle WA 98105-4660 |
| Mailing Address |
18503 Se 267th St Covington WA 98042-8441 |
| Practice Telephone | 2065358876 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-25 |
| NPI Deactivation Date | 09/17/2019 |
| NPI Reactivation Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621101 | Benjamin Luke Fowler | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 101 & 201, Ventura, CA 93003 | 2020-05-22 |
| 1508397050 | Benjamin Fowler | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2017-03-27 |
| 1801156567 | Benjamin Fowler | Social Worker | 4616 Roosevelt Ave, Sacramento, CA 95820 | 2012-05-29 |
| Street Address |
4746 11TH AVE NE STE 102 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003152992 | Kaitlin Marie Kloes Greeny | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2012-12-20 |
| 1659972800 | Ella Kathleen Mcconnell | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-11-04 |
| 1235742131 | Allison Christine Smith | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-08-28 |
| 1861010829 | Alicia Ramirez | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-07-07 |
| 1134742109 | Phillip M. Johnson | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-05-25 |
| 1851934285 | Thomas Pierson | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-10-17 |
| 1730721614 | Anthony John Vasquez | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-10-12 |
| 1427699198 | Kashara Hyder | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-10-03 |
| 1144878026 | Hiusze Noom | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-09-03 |
| 1508414863 | Katherine De Havilland Siceloff | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| 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 |
|---|---|---|---|---|
| 1003416900 | Angelica Yu | Behavioral Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
| 1023620606 | Marquicia Dominguez | Behavioral Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
| 1306462379 | B.a.n.d.s. | Behavioral Analyst | 819 Virginia St Unit 1603, Seattle, WA 98101-4425 | 2020-06-24 |
| 1881213429 | Wa Mc Sprout 1 LLC | Behavioral Analyst | 100 S King St Ste 100-1023, Seattle, WA 98104-3844 | 2020-04-14 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1902442676 | Gwendolyn Pinson | Behavioral Analyst | Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 | 2019-11-18 |
| 1538700109 | Hannah Stemple | Behavioral Analyst | 7016 15th Ave Ne, Seattle, WA 98115-5732 | 2019-10-03 |
| 1255982328 | Daniel Zahajko | Behavioral Analyst | 531 Ne 86th St, Seattle, WA 98115-2930 | 2019-09-20 |
| 1912560459 | Allison Chancellor, LLC | Behavioral Analyst | 1222 E Madison St Apt 419, Seattle, WA 98122-4221 | 2019-04-19 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
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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.