MR. LEO ANTHONY PERUCCA (NPI# 1780299107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780299107 |
| Entity Type | Individual |
| Full Name | MR. LEO ANTHONY PERUCCA |
| Practice Address |
12826 Se 40th Ln Ste A10 Bellevue WA 98006-5266 |
| Practice Telephone | 2065526724 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CB60894935 | WA | Behavioral Health & Social Service Providers |
| Street Address |
12826 SE 40TH LN STE A10 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031611 | Richard Stanley Maness Jr. | Behavior Technician | 12826 Se 40th Ln Ste A10, Bellevue, WA 98006-5266 | 2020-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| 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 |
| 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 |
| 1861993339 | Ariella Buglione | Behavior Technician | 10400 Ne 4th St, Bellevue, WA 98004-5174 | 2018-02-21 |
| 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.