KATRINA L KENNEDY (NPI# 1568021061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568021061 |
| Entity Type | Individual |
| Full Name | KATRINA L KENNEDY |
| Practice Address |
422 Nw 13th Ave Ste 115 Portland OR 97209-2930 |
| Mailing Address |
7500 Sw Barnes Rd Portland OR 97225-6258 |
| Practice Telephone | 8886574456 |
| Practice Fax Number | 4159895001 |
| Mailing Telephone | 5032782050 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780166421 | Katrina Ann Kennedy | Nurse Practitioner | 600 East Blvd, Elkhart, IN 46514-2483 | 2018-08-29 |
| 1083132443 | Katrina T Kennedy | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-06 |
| 1407287600 | Katrina Kennedy | Physical Therapist | 34 W Washington St, Chagrin Falls, OH 44022-3026 | 2013-12-12 |
| Street Address |
422 NW 13TH AVE STE 115 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| 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 |
| 1528691870 | Jodie Lynn Boettcher | Behavior Technician | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-02-14 |
| 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 |
| 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.