NATE JOHN SUTHERLAND (NPI# 1639529258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639529258 |
| Entity Type | Individual |
| Full Name | NATE JOHN SUTHERLAND |
| Practice Address |
37770 Upper Creek Road Springfield OR 97478 |
| Mailing Address |
37770 Upper Camp Creek Rd Springfield OR 97478-8753 |
| Practice Telephone | 5413450805 |
| Practice Fax Number | 5413450855 |
| Mailing Telephone | 5413450805 |
| Mailing Fax Number | 5413450855 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
37770 UPPER CREEK ROAD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| 1891829172 | Leroy Ernest Roberts | Pharmacist | 38850 Camp Creek Road, Springfield, OR 97478 | 2007-03-16 |
| Find all providers in zip 97478 | ||||
| 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 |
|---|---|---|---|---|
| 1962001479 | Blueprint for Success LLC | Behavioral Analyst | 117 E Liberty St, Springfield, OH 45505-1935 | 2020-10-26 |
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1275167215 | Christie Anne Tan | Behavioral Analyst | 92 Indian Rock Dr, Springfield, PA 19064-3341 | 2020-02-28 |
| 1346874674 | Haley Rose Thompson | Behavioral Analyst | 1272 S Grand Ave W, Springfield, IL 62704-3567 | 2020-02-25 |
| 1437789914 | Heather Marie Felske | Behavioral Analyst | 3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045 | 2020-01-23 |
| 1164068052 | Jenna Casar | Behavioral Analyst | 1023 West Ave, Springfield, PA 19064-3729 | 2019-11-26 |
| 1376187930 | Leigha Sochurek | Behavioral Analyst | 5413 Montgomery St, Springfield, VA 22151-3855 | 2019-11-06 |
| 1659920791 | Linda Muckey | Behavioral Analyst | 4481 Ash Grove Dr, Springfield, IL 62711-6358 | 2019-09-11 |
| 1306492921 | Emmanuel Taye | Behavioral Analyst | 6700 Metropolitan Center Dr Apt 709, Springfield, VA 22150-4588 | 2019-08-12 |
| 1497213300 | Emily Ranck | Behavioral Analyst | 433 E Thomson Ave, Springfield, PA 19064-2927 | 2019-03-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
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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.