JODIE LYNN BOETTCHER (NPI# 1528691870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528691870 |
| Entity Type | Individual |
| Full Name | JODIE LYNN BOETTCHER |
| Practice Address |
1750 Sw Skyline Blvd Ste 201 Portland OR 97221-2545 |
| Practice Telephone | 5038949630 |
| Mailing Telephone | 5035044789 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1750 SW SKYLINE BLVD STE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726318 | Keegan Baurer | Counselor | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-10-01 |
| 1134742810 | Molly Silverstein | Social Worker | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| 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 |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1841824000 | Amorelle Clarke | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-02-26 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1063052603 | Cedar Hart Edell | Behavior Technician | 931 Sw Gaines St Apt A, Portland, OR 97239-3005 | 2020-01-12 |
| 1588204507 | Yarelisa Yesania Salcedo | Behavior Technician | 7800 Sw Barbur Blvd # 2, Portland, OR 97219-2823 | 2020-01-07 |
| 1669011045 | Devin Solar | Behavior Technician | 14405 Sw Beef Bend Rd Apt 3, Portland, OR 97224-1964 | 2020-01-02 |
| 1982243531 | Haley Anne Fellows | Behavior Technician | 8105 Se Taylor Ct, Portland, OR 97215-3059 | 2019-12-30 |
| 1487293353 | Linda Patterson | Behavior Technician | 1334 Ne 108th Ave Apt 10, Portland, OR 97220-3076 | 2019-12-24 |
| Find all providers in PORTLAND | ||||
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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.