WOOLLARD IPSEN MANAGMENT LLC (NPI# 1528684255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528684255 |
| Entity Type | Organization |
| Organization Name | WOOLLARD IPSEN MANAGMENT LLC |
| Practice Address |
832 E Main St Medford OR 97504-7153 |
| Practice Telephone | 5417732771 |
| Practice Fax Number | 5417732808 |
| Mailing Telephone | 5417732771 |
| Mailing Fax Number | 5417732808 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | MR. TODD MONROE WOOLLARD (MANAGING MEMBER) |
| Authorized Official Telephone | 5417732771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 733254 | 05 |
| Street Address |
832 E MAIN ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752414 | Orvis Enterprises, Inc | Radiologic Technologist | 832 E Main St, Suite 4, Medford, OR 97504-7153 | 2005-07-05 |
| 1679928543 | Summer Waters, LLC | Nutritionist | 832 E Main St, Suite 3, Medford, OR 97504-7153 | 2016-04-28 |
| 1174852602 | Christine Allison Rackley | Massage Therapist | 832 E Main St, Medford, OR 97504-7153 | 2009-12-11 |
| 1770723363 | Gordon Wayne Grafton Jr. | Massage Therapist | 832 E Main St, 5, Medford, OR 97504-7153 | 2009-02-23 |
| 1699910257 | Ralph Kenneth Duffin Sr. | Dentist | 832 E Main St, Ste. 10, Medford, OR 97504-7153 | 2008-12-11 |
| 1619099611 | Matthew Sheehan | Chiropractor | 832 E Main St, Suite 5, Medford, OR 97504-7153 | 2007-04-03 |
| 1518039890 | Susannah Jane Elder | Specialist | 832 E Main St, Ste. 6, Medford, OR 97504-7153 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1295334118 | Moriah J Spendolini | Behavioral Analyst | 3709 Citation Way, Medford, OR 97504-9022 | 2020-10-21 |
| 1932737871 | Kimberly Baker | Behavioral Analyst | 56 Cardinal Ct, Medford, NJ 08055-8317 | 2020-03-27 |
| 1760022255 | Helping Hands Family New Jersey LLC | Behavioral Analyst | 1 Aldworth Ct, Medford, NJ 08055-3330 | 2020-01-13 |
| 1386289544 | Alisha Pearl Kizziar | Behavioral Analyst | 106 Monument St # 1, Medford, MA 02155-3514 | 2019-11-12 |
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1417447087 | Autumn Grace Mccuien | Behavioral Analyst | 1148 Stanford Ave, Medford, OR 97504-8924 | 2018-05-18 |
| 1255838017 | Kellie Bryson Carr | Behavioral Analyst | 711 E Main St Ste 14, Medford, OR 97504-7139 | 2018-04-09 |
| 1679080295 | Sydni Dodrill | Behavioral Analyst | 1314 Center Dr Ste B-454, Medford, OR 97501-7908 | 2018-01-04 |
| 1750822409 | Laura Pech | Behavioral Analyst | 2860 Howard Ave, Medford, OR 97501-1219 | 2017-03-14 |
| 1912453515 | Kimberley Danielle Snow | Behavioral Analyst | 1350 Grand Ave, Medford, OR 97504-5210 | 2016-09-01 |
| Find all providers in MEDFORD | ||||
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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.