ANGELA MARIE WYATT (NPI# 1447802293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447802293 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE WYATT |
| Practice Address |
5801 Ne Cornelius Pass Rd Hillsboro OR 97124-9370 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9712970230 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 | 8183452345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699118976 | Angela L. Wyatt | Marriage & Family Therapist | 1406 Fort Crook Rd S Ste 401, Bellevue, NE 68005-2980 | 2013-04-16 |
| 1528011368 | Angela J Wyatt | Dermatology | 150 N Verde St Ste 101, Flagstaff, AZ 86001-5257 | 2006-05-19 |
| 1932184009 | Angela Beth Wyatt | Registered Nurse | 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | 2005-12-13 |
| Street Address |
5801 NE CORNELIUS PASS RD |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1518567122 | Courtney Downing | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-11-01 |
| 1417555905 | Tristen Melby | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-10-15 |
| 1508470808 | Rochelle Schoenthal | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-09-03 |
| 1417561713 | Dylan Jonathan Lemay | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-09-03 |
| 1508470378 | Melissa Ann Sampels | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-08-31 |
| 1639781701 | Jewel M Allgaier | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-08-20 |
| 1033720206 | Breanna Gravley | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-08-12 |
| 1548878754 | Andres Coreas | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-07-14 |
| 1851917942 | Nicohl Knight | Behavior Technician | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124-9370 | 2020-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| 1477899821 | Ellc Enterprises, LLC | Massage Therapist | 5215 Ne Elam Young Parkway Suite A, Hillsboro, OR 97124 | 2012-12-12 |
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| 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 |
|---|---|---|---|---|
| 1417563800 | Anahita Pirouzmand | Behavior Technician | 8605 Ne Trailwalk Dr Apt C304, Hillsboro, OR 97006-4958 | 2020-09-21 |
| 1598391260 | Leah Noelle Addington | Behavior Technician | 2405 Ne John Olsen Ave Apt B215, Hillsboro, OR 97006-6754 | 2020-03-13 |
| 1033757273 | Shasta Howe | Behavior Technician | 5801 Nw Cornelius Pass Rd., Hillsboro, OR 97124-9712 | 2019-12-18 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1538718341 | Khatren Reed | Behavior Technician | 3669 Ne John Olsen Ave, Hillsboro, OR 97124-5815 | 2019-09-05 |
| 1619537768 | Angela Trinidad Aguilar | Behavior Technician | 5801 Ne Cornelius Pass Rd # 5801, Hillsboro, OR 97124-9370 | 2019-06-19 |
| 1225694284 | Mercedes Dawn Orphan | Behavior Technician | 5801 Nw Cornelius Pass Road, Hillsboro, OR 97124-9712 | 2019-05-15 |
| 1326507898 | Joelle Renee Otterstedt | Behavior Technician | 400 E Main St Ste 180, Hillsboro, OR 97123-4161 | 2019-03-14 |
| 1407354954 | Savannah Cole | Behavior Technician | 1189 Ne Turner Dr, Hillsboro, OR 97124-3405 | 2018-01-30 |
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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.