PETER SHIREY (NPI# 1679005342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679005342 |
| Entity Type | Individual |
| Full Name | PETER SHIREY |
| Practice Address |
13010 Ne 20th St Suite 300 Bellevue WA 98005-2034 |
| Mailing Address |
8835 8th Ave Nw Seattle WA 98117-3230 |
| Practice Telephone | 4256446328 |
| Mailing Telephone | 2063492137 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CG 60648698 | WA | Behavioral Health & Social Service Providers |
| Street Address |
13010 NE 20TH ST SUITE 300 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174645691 | Andrea Leah Duffield | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2007-04-04 |
| 1831614197 | Jessica Danielle Stephens | Behavioral Analyst | 13010 Ne 20th St, Bellevue, WA 98008 | 2017-08-08 |
| 1144756339 | Karen Elizabeth Penewell | Physical Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2017-05-07 |
| 1336674902 | Nadia Kabbani | Occupational Therapist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2017-04-20 |
| 1639602592 | Elisa Peterson | Psychologist | 13010 Ne 20th St, #300, Bellevue, WA 98005-2034 | 2017-04-07 |
| 1497205934 | Sara Gratz | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2016-10-07 |
| 1508226531 | Michael Clark | Occupational Therapist | 13010 Ne 20th St, Ste 300, Bellevue, WA 98005-2034 | 2016-03-03 |
| 1477921583 | Chelsea Shamis | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-09-04 |
| 1073980975 | Nancy Underwood | Speech-Language Pathologist | 13010 Ne 20th St, Suite 300, Bellevue, WA 98005-2034 | 2015-08-26 |
| 1427439355 | Nicole Mickelson | Behavioral Analyst | 13010 Ne 20th St, Suite 100, Bellevue, WA 98005-2034 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
|---|---|---|---|---|
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1780299107 | Leo Anthony Perucca | Behavior Technician | 12826 Se 40th Ln Ste A10, Bellevue, WA 98006-5266 | 2020-09-11 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1083250096 | Andrew Zemanek | Behavior Technician | 12729 Northup Way Ste 102, Bellevue, WA 98005-1935 | 2019-11-25 |
| 1043865975 | Aaron Struss | Behavior Technician | 2018 156th Ave Ne Ste 100, Bellevue, WA 98007-3825 | 2019-08-07 |
| 1619521473 | Isatou Daffeh | Behavior Technician | 13333 Ne Bel Red Rd Ste Unit, Bellevue, WA 98005-2332 | 2019-07-30 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1821568239 | Logan G Carter | Behavior Technician | 15315 Se 25th St, Bellevue, WA 98007-6501 | 2018-11-28 |
| 1902399553 | Maria Guadalupe Ojeda Rosas | Behavior Technician | 4935 Aspen Dr, Bellevue, NE 68157-2241 | 2018-06-08 |
| Find all providers in BELLEVUE | ||||
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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.