SHIAN VENEE CORINE WITHERSPOON (NPI# 1639781990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639781990 |
| Entity Type | Individual |
| Full Name | SHIAN VENEE CORINE WITHERSPOON |
| Practice Address |
2400 Ne 95th St Seattle WA 98115-2426 |
| Practice Telephone | 2065255050 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CB61096001 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2400 NE 95TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1568063261 | Jessamy Whitsitt-hunt | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-08 |
| 1427659044 | Hangatu Umar Dawud | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-11-02 |
| 1457958894 | Nhi Uyen Ly | Counselor | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-10-08 |
| 1952918062 | Priyanka Ghosh | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-23 |
| 1740896976 | Ingrid Lissette Lara Rivera | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-09-22 |
| 1023622891 | Vincenza Standridge | Case Manager/Care Coordinator | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-31 |
| 1922610526 | Kassie Means | Student in an Organized Health Care Education/Training Program | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-08-17 |
| 1912521469 | Miranda Rosemarie Sullivan | Social Worker | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-06-01 |
| 1609499433 | Rachel Samantha Wilson | Behavior Technician | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2020-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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| 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 |
|---|---|---|---|---|
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| 1679189807 | Mitchell Duncan Wolfe | Behavior Technician | 5261 18th Ave Ne, Seattle, WA 98105-3409 | 2020-09-22 |
| 1568074649 | Shiqi Yu | Behavior Technician | 8034 Beacon Ave S, Seattle, WA 98118-4322 | 2020-08-19 |
| 1639787682 | Christine Haensli | Behavior Technician | 4847 California Ave Sw, Seattle, WA 98116-4474 | 2020-07-15 |
| 1881202059 | Austin Reid Heilman | Behavior Technician | 507 Ne Northgate Way Apt 239, Seattle, WA 98125-6190 | 2020-07-14 |
| 1154949618 | Ashante Samuels | Behavior Technician | 2847 Sw Nevada St, Seattle, WA 98126-2537 | 2020-07-10 |
| 1346863644 | Sam J Regali | Behavior Technician | 2104 Ne 45th St, Seattle, WA 98105-3338 | 2020-05-20 |
| 1093340432 | Jeffrey Samuel Rindskopf | Behavior Technician | 5623 Rainier Ave S, Seattle, WA 98118-2442 | 2020-03-05 |
| 1871125922 | Lucy Elizabeth Brezynski | Behavior Technician | 1822 E Jefferson St, Seattle, WA 98122-5744 | 2020-02-06 |
| 1467082073 | Savannah Magness | Behavior Technician | 228 11th Ave E Apt 102, Seattle, WA 98102-6405 | 2020-01-22 |
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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.