ANGELO ALEXANDER ALEVIZATOS (NPI# 1417565078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417565078 |
| Entity Type | Individual |
| Full Name | ANGELO ALEXANDER ALEVIZATOS |
| Practice Address |
19204 N Creek Pkwy Bldg 2 Bothell WA 98011-8009 |
| Mailing Address |
19204 N Creek Pkwy Ste 110 Bothell WA 98011-8009 |
| Practice Telephone | 8888050759 |
| Mailing Telephone | 2064994016 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
19204 N CREEK PKWY BLDG 2 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1609425396 | Khiry Esai Gallegos | Behavior Technician | 19204 N Creek Pkwy Bldg Ste 110, Bothell, WA 98011-8009 | 2019-09-05 |
| 1083274138 | Tyler Leitch | Behavior Technician | 18422 103rd Ave Ne, Bothell, WA 98011-3410 | 2019-06-19 |
| 1023677820 | Anders Vitin | Behavior Technician | 5421 233rd Pl Se, Bothell, WA 98021-8053 | 2019-06-06 |
| 1962960823 | Kyana Emley | Behavior Technician | 1225 183rd St Se Apt K108, Bothell, WA 98012-7543 | 2019-03-08 |
| 1285110932 | Vianny Daniels | Behavior Technician | 19801 N Creek Pkwy Ste 200, Bothell, WA 98011-8240 | 2018-07-16 |
| 1750898789 | Elizabeth Merry | Behavior Technician | 21830 37th Dr Se, Bothell, WA 98021-7082 | 2017-12-28 |
| 1134720600 | Hanna Sulek | Behavior Technician | 19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 | 2020-11-02 |
| 1972103307 | Melanie Kuoch | Behavior Technician | 19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 | 2020-10-26 |
| Find all providers in BOTHELL | ||||
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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.