EZEKIEL BROUHARD (NPI# 1508307075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508307075 |
| Entity Type | Individual |
| Full Name | EZEKIEL BROUHARD |
| Practice Address |
1014 Main Street Vancouver WA 98660 |
| Practice Telephone | 3606951014 |
| Mailing Telephone | 3606951014 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1014 MAIN STREET |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347070 | David Cameron Hunter | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2006-06-23 |
| 1215400296 | Lynn Anne Roberts | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2019-01-02 |
| 1174099881 | Shelby Massingale | 1014 Main Street, Vancouver, WA 98660 | 2018-10-19 | |
| 1568942415 | Nicole Rose Kennedy | Student in an Organized Health Care Education/Training Program | 1014 Main Street, Vancouver, WA 98660 | 2018-08-20 |
| 1053820498 | Kalinda R Ferguson | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2017-09-28 |
| 1154851574 | Aimee Amodio | Social Worker | 1014 Main Street, Vancouver, WA 98660 | 2017-06-18 |
| 1275063737 | Richard Clark | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2017-06-18 |
| 1427508639 | Samuel Moore | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-10-12 |
| 1144774548 | Kayla Lindsay Klemm | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-08-15 |
| 1316301682 | Leah Blanton | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1114545340 | Jordan Kenneth Dekker | Assistant Behavior Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790421 | Breanna Kraft | Assistant Behavior Analyst | 2317 N 134th St Apt 9, Seattle, WA 98133-7866 | 2020-05-03 |
| 1386265585 | Kate Elizabeth Ross | Assistant Behavior Analyst | Leaps and Beyond Inc 111 E Central Avenue, Spokane, WA 99208-8184 | 2020-04-29 |
| 1407403272 | Christina Suarez | Assistant Behavior Analyst | 2602 S 38th St Ste A, Tacoma, WA 98409-7303 | 2019-08-26 |
| 1376199760 | Juan M Jimenez | Assistant Behavior Analyst | 529 W 6th St, Port Angeles, WA 98362-5805 | 2019-08-13 |
| 1184282881 | Alexandra Ellen Grumbois | Assistant Behavior Analyst | 156 Boardwalk Way, Kelso, WA 98626-1880 | 2019-05-29 |
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1255894630 | Kathryn Ann Marie Sweeney | Assistant Behavior Analyst | 803 Sw 139th St, Burien, WA 98166-1219 | 2019-04-11 |
| 1497237887 | Jennifer Marie Ives | Assistant Behavior Analyst | 22845 Se 1st Pl Apt 215, Sammamish, WA 98074-5038 | 2018-08-31 |
| 1699256438 | Katelyn Baker | Assistant Behavior Analyst | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2018-08-28 |
| 1669991824 | Lindsay Mollison | Assistant Behavior Analyst | 22415 Se 231st St, Maple Valley, WA 98038-5000 | 2017-09-19 |
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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.