AUTUMN GRACE MCCUIEN


Address: 1148 Stanford Ave, Medford, OR 97504-8924
Phone: 9493000785

AUTUMN GRACE MCCUIEN (NPI# 1417447087) 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) 1417447087
Entity Type Individual
Full Name AUTUMN GRACE MCCUIEN
Practice Address 1148 Stanford Ave
Medford
OR 97504-8924
Practice Telephone 9493000785
Mailing Telephone 9493000785
Enumeration Date 2018-05-18
Last Update Date 2018-05-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst M250074288891 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1148 STANFORD AVE
City MEDFORD
State OR
Zip Code 97504-8924

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801408901 Southern Oregon Behavioral Wellness Center Clinic/Center 1148 Stanford Ave, Medford, OR 97504-8924 2020-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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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
1295334118 Moriah J Spendolini Behavioral Analyst 3709 Citation Way, Medford, OR 97504-9022 2020-10-21
1932737871 Kimberly Baker Behavioral Analyst 56 Cardinal Ct, Medford, NJ 08055-8317 2020-03-27
1760022255 Helping Hands Family New Jersey LLC Behavioral Analyst 1 Aldworth Ct, Medford, NJ 08055-3330 2020-01-13
1386289544 Alisha Pearl Kizziar Behavioral Analyst 106 Monument St # 1, Medford, MA 02155-3514 2019-11-12
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1255838017 Kellie Bryson Carr Behavioral Analyst 711 E Main St Ste 14, Medford, OR 97504-7139 2018-04-09
1679080295 Sydni Dodrill Behavioral Analyst 1314 Center Dr Ste B-454, Medford, OR 97501-7908 2018-01-04
1750822409 Laura Pech Behavioral Analyst 2860 Howard Ave, Medford, OR 97501-1219 2017-03-14
1912453515 Kimberley Danielle Snow Behavioral Analyst 1350 Grand Ave, Medford, OR 97504-5210 2016-09-01
1609251412 Stefanie Belnavis Behavioral Analyst 175 Fulton St, Medford, MA 02155-2041 2015-07-22
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Competitor

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City MEDFORD
Zip Code 97504

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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