ELLIS GRANT THOMPSON (NPI# 1487031332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031332 |
| Entity Type | Individual |
| Full Name | ELLIS GRANT THOMPSON |
| Credential | BCBA |
| Practice Address |
1313 Ne 134th St Ste 110 Vancouver WA 98685-2721 |
| Mailing Address |
5502 Ne 74th Ave Vancouver WA 98662-6386 |
| Practice Telephone | 3605186249 |
| Mailing Telephone | 2068541829 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-10323 | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5502 Ne 74th Ave, Vancouver, WA 986626386 | 2068541829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770992430 | Ellis Thompson | Physician Assistant | 201 Abraham Flexner Way Ste 100, Louisville, KY 40202-3841 | 2014-08-07 |
| Street Address |
1313 NE 134TH ST STE 110 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98685-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681697 | Dora E. Matos | Behavioral Analyst | 1313 Ne 134th St Ste 110, Vancouver, WA 98685-2721 | 2020-08-28 |
| 1740838028 | Nathan James Cobabe | Counselor | 1313 Ne 134th St Ste 110, Vancouver, WA 98685-2721 | 2019-08-29 |
| 1255993465 | Cami Rae Pickett | Behavior Technician | 1313 Ne 134th St Ste 110, Vancouver, WA 98685-2721 | 2019-07-08 |
| 1841762325 | Tanya Krewenka | Behavior Technician | 1313 Ne 134th St Ste 110, Vancouver, WA 98685-2721 | 2018-12-21 |
| 1326546235 | Formations Behavior Therapy | Community/Behavioral Health | 1313 Ne 134th St Ste 110, Vancouver, WA 98685 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
| 1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
| 1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
| 1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
| 1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
| 1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
| 1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
| Find all providers in zip 98685 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685466 | Jazmin Keymolen | Behavioral Analyst | 9901 Ne 7th Ave Unit C-16, Vancouver, WA 98685-4523 | 2020-09-25 |
| 1558923870 | Jasmin Piedra | Behavioral Analyst | 1015 W 24th St, Vancouver, WA 98660-2336 | 2019-07-08 |
| 1831651041 | Debbie L England | Behavioral Analyst | 11912 Nw 33rd Ave, Vancouver, WA 98685-2349 | 2019-04-05 |
| 1932668670 | Alison Alexandra Hill-alton | Behavioral Analyst | 120 Ne 136th Ave # Stu220, Vancouver, WA 98684-6949 | 2019-03-12 |
| 1922563998 | Abrianna Rachela Havlovick | Behavioral Analyst | 5605 Ne 23rd Ave, Vancouver, WA 98663-1405 | 2019-02-04 |
| 1770052607 | Evan Pearson | Behavioral Analyst | 1307 Grand Pl, Vancouver, WA 98661-4715 | 2018-11-20 |
| 1801370754 | Taylor Jordan Boord | Behavioral Analyst | 3710 Ne 109th Ave # A-02p, Vancouver, WA 98682-7764 | 2018-09-17 |
| 1558844704 | Taryn Alyssa Brewer | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2018-09-13 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1861915183 | Danielle Kate Higgins | Behavioral Analyst | 910 W Mcloughlin Blvd, Vancouver, WA 98660-2418 | 2017-07-18 |
| Find all providers in VANCOUVER | ||||
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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.