TYLER JONATHON MACRAE-SMITH (NPI# 1780239178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780239178 |
| Entity Type | Individual |
| Full Name | TYLER JONATHON MACRAE-SMITH |
| Practice Address |
15605 Ne 5th St Vancouver WA 98684-3375 |
| Practice Telephone | 3604488711 |
| Mailing Telephone | 3604488711 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2019-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
15605 NE 5TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1285240143 | Shelly Nichole Stafford | Behavior Technician | 6609 Ne 54th Ct, Vancouver, WA 98661-1580 | 2020-09-16 |
| 1225655368 | Zach Lobetos | Behavior Technician | 11800 Ne 124th Ave Unit D45, Vancouver, WA 98682-1603 | 2020-07-05 |
| 1831716190 | Tara Kristen Ortega | Behavior Technician | 11800 Ne 124th Ave Apt D45, Vancouver, WA 98682-1603 | 2020-07-01 |
| 1457985756 | Anna Snodgrass | Behavior Technician | 4101 Se 192nd Ave, Vancouver, WA 98683-1471 | 2020-02-25 |
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1477191526 | Angela Theresa Sciacca | Behavior Technician | 2305 E 13th St Apt U, Vancouver, WA 98661-4187 | 2019-12-18 |
| 1932747276 | Lauren Burt | Behavior Technician | 915 Broadway St # 115, Vancouver, WA 98660-3278 | 2019-12-17 |
| 1346802253 | Jacob Anderson | Behavior Technician | 1905 Daniels St Apt 10, Vancouver, WA 98660-2500 | 2019-07-01 |
| 1316508864 | Katelyn S Thoune | Behavior Technician | 820 Ne 96th Ave, Vancouver, WA 98664-3365 | 2019-06-25 |
| Find all providers in VANCOUVER | ||||
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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.