MRS. MANDY DAWN WALDEN


Address: 360 N. Deanjou Ave, Eagle Point, OR 97524
Phone: 5412612372

MRS. MANDY DAWN WALDEN (NPI# 1437566163) 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) 1437566163
Entity Type Individual
Full Name MRS. MANDY DAWN WALDEN
Other Name MR. MATT EARL WALDEN
Practice Address 360 N. Deanjou Ave
Eagle Point
OR 97524
Mailing Address 358 S. Oakdale
Family Solutions
Medford
OR 97501
Practice Telephone 5412612372
Mailing Telephone 5417765793
Mailing Fax Number 5417765798
Enumeration Date 2014-07-15
Last Update Date 2014-07-15
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

Office Location

Street Address 360 N. DEANJOU AVE
City EAGLE POINT
State OR
Zip Code 97524

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497373021 Jennifer Schmidt Psychologist 995 Stonewater Dr., Eagle Point, OR 97524 2020-07-09
1639682834 Marianne Arasmith Massage Therapist 6443 Monte Vista Ct, Eagle Point, OR 97524 2017-11-09
1710313200 Casey Joe Winkler Behavioral Analyst 587 Sherman Way, Eagle Point, OR 97524 2013-09-17
1871745901 Keith Fusao Ogawa Dentist 217 W. Main St., Eagle Point, OR 97524 2008-10-21
1578729893 Tina Louise Matthews Massage Therapist 151 West Linn Rd, F6, Eagle Point, OR 97524 2008-08-06
1588700819 Greg Gonzalez Pediatrics Clinic/Center 275 Loto Street, Eagle Point, OR 97524 2007-01-30
1194876235 Donald Kirk Wolf Physical Therapist 158 Main, Eagle Point, OR 97524 2007-01-16
1780759985 Eagle Point Dental Group,p.c. Dentist 217 W Main Street, Eagle Point, OR 97524 2006-11-22
1831268515 Carmen D Edwards-henry Speech-Language Pathologist 1020 Highlands Drive, Eagle Point, OR 97524 2006-11-07
1336152081 Mary Ellen Campbell Physical Therapist 158 W Main, Eagle Point, OR 97524 2006-08-14
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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
1710313200 Casey Joe Winkler Behavioral Analyst 587 Sherman Way, Eagle Point, OR 97524 2013-09-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457950156 Jabbo Dire Behavioral Analyst 331 Lone Oaks Loop, Silverton, OR 97381-1470 2020-10-22
1295334043 Callista Perez Behavioral Analyst 2020 Ne Linnea Dr Apt 309, Bend, OR 97701-4975 2020-10-22
1295334118 Moriah J Spendolini Behavioral Analyst 3709 Citation Way, Medford, OR 97504-9022 2020-10-21
1376158055 Compassionate Therapy for Autism, LLC Behavioral Analyst 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 2020-09-10
1588276364 Climb Behavioral Solutions, LLC Behavioral Analyst 809b Se Sherman St, Portland, OR 97214-4666 2020-08-21
1205448164 Moore Therapy Services, LLC Behavioral Analyst 2053 Se 181st Ave, Portland, OR 97233 2020-08-20
1326659186 Kelly Stafford Behavioral Analyst 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 2020-08-13
1235753138 Or Mc Sprout 1 LLC Behavioral Analyst 700 Sw 5th Ave, Portland, OR 97204-2000 2020-06-05
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1780210583 Cecilia Ramirez Espinoza Behavioral Analyst 107 N Trade St Apt A, Amity, OR 97101-2827 2020-03-12
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Competitor

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City EAGLE POINT
Zip Code 97524

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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