DEIDRA A LOGAN (NPI# 1477015725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477015725 |
| Entity Type | Individual |
| Full Name | DEIDRA A LOGAN |
| Credential | CBT |
| Practice Address |
1855 Mcgilvra Blvd E Seattle WA 98112-3123 |
| Practice Telephone | 8188132216 |
| Mailing Telephone | 8188132216 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CB60871416 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | CB60871416 | 01 |
| Street Address |
1855 MCGILVRA BLVD E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| 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 |
|---|---|---|---|---|
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| 1679189807 | Mitchell Duncan Wolfe | Behavior Technician | 5261 18th Ave Ne, Seattle, WA 98105-3409 | 2020-09-22 |
| 1568074649 | Shiqi Yu | Behavior Technician | 8034 Beacon Ave S, Seattle, WA 98118-4322 | 2020-08-19 |
| 1639787682 | Christine Haensli | Behavior Technician | 4847 California Ave Sw, Seattle, WA 98116-4474 | 2020-07-15 |
| 1881202059 | Austin Reid Heilman | Behavior Technician | 507 Ne Northgate Way Apt 239, Seattle, WA 98125-6190 | 2020-07-14 |
| 1154949618 | Ashante Samuels | Behavior Technician | 2847 Sw Nevada St, Seattle, WA 98126-2537 | 2020-07-10 |
| 1346863644 | Sam J Regali | Behavior Technician | 2104 Ne 45th St, Seattle, WA 98105-3338 | 2020-05-20 |
| 1093340432 | Jeffrey Samuel Rindskopf | Behavior Technician | 5623 Rainier Ave S, Seattle, WA 98118-2442 | 2020-03-05 |
| 1871125922 | Lucy Elizabeth Brezynski | Behavior Technician | 1822 E Jefferson St, Seattle, WA 98122-5744 | 2020-02-06 |
| 1467082073 | Savannah Magness | Behavior Technician | 228 11th Ave E Apt 102, Seattle, WA 98102-6405 | 2020-01-22 |
| Find all providers in SEATTLE | ||||
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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.