JACOB ANDERSON (NPI# 1346802253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346802253 |
| Entity Type | Individual |
| Full Name | JACOB ANDERSON |
| Practice Address |
1905 Daniels St Apt 10 Vancouver WA 98660-2500 |
| Practice Telephone | 2316207445 |
| Mailing Telephone | 2316207445 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942619374 | Jacob Ray Anderson | Physical Therapist | 1110 Civic Center Blvd Ste. 502, Yuba City, CA 95993 | 2014-08-11 |
| 1356621163 | Jacob Stewart Anderson | Occupational Therapist | 1899 Tate Blvd Se Ste 2106, Hickory, NC 28602 | 2011-08-24 |
| 1902020761 | Jacob Christian Anderson | Occupational Therapist | 301 Nobles Ln, Old Orchard Beach, ME 04064-1627 | 2007-04-12 |
| 1659830669 | Jacob Anderson | Radiology | 600 Highland Ave, Madison, WI 53792-3440 | 2019-03-19 |
| 1891264990 | Jacob M Anderson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-19 |
| 1538658158 | Jacob Boone Anderson | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121-2483 | 2018-05-09 |
| 1023507035 | Jacob Anderson | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2018-05-04 |
| 1710494687 | Jacob Kyle Anderson | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-01-02 |
| 1104351709 | Jacob Anderson | Case Manager/Care Coordinator | 142 W Main St, Durant, OK 74701-5008 | 2017-04-21 |
| 1467801266 | Jacob Anderson | Internal Medicine | 245 N 15th St, 6th Floor, Philadelphia, PA 19102-1101 | 2016-06-13 |
| Street Address |
1905 DANIELS ST APT 10 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| 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 |
|---|---|---|---|---|
| 1285240143 | Shelly Nichole Stafford | Behavior Technician | 6609 Ne 54th Ct, Vancouver, WA 98661-1580 | 2020-09-16 |
| 1225655368 | Zach Lobetos | Behavior Technician | 11800 Ne 124th Ave Unit D45, Vancouver, WA 98682-1603 | 2020-07-05 |
| 1831716190 | Tara Kristen Ortega | Behavior Technician | 11800 Ne 124th Ave Apt D45, Vancouver, WA 98682-1603 | 2020-07-01 |
| 1457985756 | Anna Snodgrass | Behavior Technician | 4101 Se 192nd Ave, Vancouver, WA 98683-1471 | 2020-02-25 |
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1477191526 | Angela Theresa Sciacca | Behavior Technician | 2305 E 13th St Apt U, Vancouver, WA 98661-4187 | 2019-12-18 |
| 1932747276 | Lauren Burt | Behavior Technician | 915 Broadway St # 115, Vancouver, WA 98660-3278 | 2019-12-17 |
| 1780239178 | Tyler Jonathon Macrae-smith | Behavior Technician | 15605 Ne 5th St, Vancouver, WA 98684-3375 | 2019-08-03 |
| 1316508864 | Katelyn S Thoune | Behavior Technician | 820 Ne 96th Ave, Vancouver, WA 98664-3365 | 2019-06-25 |
| Find all providers in VANCOUVER | ||||
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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.