RUBEAN GANCHENKO (NPI# 1841840121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841840121 |
| Entity Type | Individual |
| Full Name | RUBEAN GANCHENKO |
| Practice Address |
1369 N Pacific Hwy Woodburn OR 97071-3617 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9713387763 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1369 N PACIFIC HWY |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728098 | Laura Marie Galindo | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-01-25 |
| 1285248468 | Hannah Drill | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2020-09-03 |
| 1760014138 | Wendy Hernandez Reyes | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2020-02-04 |
| 1225677875 | Brandi Janeece Bowling | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2019-12-30 |
| 1104464502 | Randy Uriarte | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2019-12-16 |
| 1427696368 | Victor Manuel Duarte | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2019-12-11 |
| 1992368732 | Sky Blue Cater | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2019-04-17 |
| 1538637574 | Zoe Snow Blackwell | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-11-07 |
| 1689157158 | Haleigh Watts | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-09-11 |
| 1285115782 | Viridiana Mendoza | Behavioral Analyst | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1295360261 | Donna Yvonne Meza | Behavior Technician | 1369 N Pacific Hwy Ste 1800, Woodburn, OR 97071-3617 | 2020-03-10 |
| 1144728098 | Laura Marie Galindo | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-01-25 |
| 1588170328 | Michelle K Witt | Behavior Technician | 1369 N Pacific Hwy Ste 1369, Woodburn, OR 97071-3617 | 2017-12-15 |
| 1760014138 | Wendy Hernandez Reyes | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2020-02-04 |
| 1790342475 | Maya Grace Bennett | Behavior Technician | 1369 N Pacific Hwy # 1369, Woodburn, OR 97071-3617 | 2019-05-28 |
| 1366900698 | Michael Winterfeld | Behavior Technician | 1369 N Pacific Hwy # 1369, Woodburn, OR 97071-3617 | 2019-03-05 |
| 1821560285 | Brenda Hernandez | Behavior Technician | 1369 N Pacific Hwy # 1369, Woodburn, OR 97071-3617 | 2018-12-26 |
| 1013483114 | Kayla Atay | Behavior Technician | 1369 N Pacific Hwy Ste 1369, Woodburn, OR 97071-3617 | 2018-10-17 |
| 1124502836 | Zhanna Tsera | Behavior Technician | 1369 N Pacific Hwy Ste 1369, Woodburn, OR 97071-3617 | 2018-09-18 |
| 1689157158 | Haleigh Watts | Behavior Technician | 1369 N Pacific Hwy, Woodburn, OR 97071-3617 | 2018-09-11 |
| Find all providers in WOODBURN | ||||
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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.