SELENA A BREVER (NPI# 1639657133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639657133 |
| Entity Type | Individual |
| Full Name | SELENA A BREVER |
| Practice Address |
17720 Ne Halsey St Ste B Portland OR 97230-6771 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5036547654 |
| Practice Fax Number | 5036547333 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
17720 NE HALSEY ST STE B |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-6771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710167242 | Michael Jensen | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2007-11-13 |
| 1821659509 | Cassandra C Yerger | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2019-06-24 |
| 1265096523 | Charlotte L Weaver | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2019-04-23 |
| 1255807558 | Caroline B Kavanagh | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-10-15 |
| 1871075127 | Amanda D Potter | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-09-04 |
| 1407342959 | Claire V Carmony | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-07-09 |
| 1255832119 | Jamie D Jones | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-02-26 |
| 1144721606 | Amber Rachele Harrison | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-02-21 |
| 1982103834 | Jack S Bodily | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-02-06 |
| 1801301031 | Sule L Whitlock | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2017-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| 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.