LESLIE JEAN FITZGERALD (NPI# 1699251611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699251611 |
| Entity Type | Individual |
| Full Name | LESLIE JEAN FITZGERALD |
| Practice Address |
2421 Washburn Way Ste K Klamath Falls OR 97603-4531 |
| Practice Telephone | 5418851675 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| 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 |
|---|---|---|---|---|
| 1396188975 | Leslie M Fitzgerald | Internal Medicine | 1225 E Weisgarber Rd Ste 200, Knoxville, TN 37909 | 2013-04-12 |
| 1073819272 | Leslie Karen Fitzgerald | Physician Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2011-02-04 |
| Street Address |
2421 WASHBURN WAY STE K |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861987638 | D'anna June Massey | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-06-25 |
| 1508426065 | Aaron Ashruf El-dinary | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-06-17 |
| 1205499894 | Rachel Michelle Duren | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-04-18 |
| 1073070694 | Destiny A Hendrick | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-03-01 |
| 1306327143 | Kaylee N Ellis | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-08-28 |
| 1801381678 | Brooke Vaughan | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| 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 |
|---|---|---|---|---|
| 1447810924 | Tyla Josephine Edwards | Behavior Technician | 2421 Washburn Way Ste 2631, Klamath Falls, OR 97603-4525 | 2019-06-18 |
| 1861987638 | D'anna June Massey | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-06-25 |
| 1508426065 | Aaron Ashruf El-dinary | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-06-17 |
| 1205499894 | Rachel Michelle Duren | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-04-18 |
| 1073070694 | Destiny A Hendrick | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2019-03-01 |
| 1306327143 | Kaylee N Ellis | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-08-28 |
| 1801381678 | Brooke Vaughan | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-06-25 |
| 1356886758 | Charles Swanson | Behavior Technician | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1417563800 | Anahita Pirouzmand | Behavior Technician | 8605 Ne Trailwalk Dr Apt C304, Hillsboro, OR 97006-4958 | 2020-09-21 |
| 1467077628 | Holly Brandt | Behavior Technician | 478 Ne Burnside Ave, Bend, OR 97701-5123 | 2020-06-13 |
| 1609491307 | Wendy Wilson | Behavior Technician | 1400 Ne Rockwell Dr, Estacada, OR 97023-7615 | 2020-06-09 |
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1316573470 | Shelia Faye Sloan | Behavior Technician | 38928 River Dr, Lebanon, OR 97355-8913 | 2020-03-20 |
| 1598391260 | Leah Noelle Addington | Behavior Technician | 2405 Ne John Olsen Ave Apt B215, Hillsboro, OR 97006-6754 | 2020-03-13 |
| 1659906436 | Christina Kay Davidson | Behavior Technician | 625 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
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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.