ALYSSA JOY LIBAK (NPI# 1861000523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861000523 |
| Entity Type | Individual |
| Full Name | ALYSSA JOY LIBAK |
| Practice Address |
9115 Sw Oleson Rd Portland OR 97223-6875 |
| Mailing Address |
601 Palo Alto Dr Vancouver WA 98661-6626 |
| Practice Telephone | 8779106538 |
| Mailing Telephone | 3606240870 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| 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 |
| Street Address |
9115 SW OLESON RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-6875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811383482 | Wesley Gesinger | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2015-04-10 |
| 1619583622 | Alexander Kayhani | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-09-16 |
| 1841808896 | Katirina Guanciale | Specialist/Technologist, Other | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-07-15 |
| 1194358374 | Sidney Suzanne Poet | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-02-17 |
| 1992335772 | Megan Martinez | Behavioral Analyst | 9115 Sw Oleson Rd, 100, Portland, OR 97223-6875 | 2020-01-22 |
| 1306484126 | Jessie Aisha Kaleikau | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-12-11 |
| 1598308264 | Jasmine Marie Huus-petersen | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-10-24 |
| 1376191403 | Haley Dixon | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-09-02 |
| 1831742568 | Aidan N Roderick | Behavior Technician | 9115 Sw Oleson Rd, Ste 100, Portland, OR 97223 | 2019-07-22 |
| 1144783853 | Pitchayatorn Sarasmut | Assistant Behavior Analyst | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1841824000 | Amorelle Clarke | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-02-26 |
| 1528691870 | Jodie Lynn Boettcher | Behavior Technician | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-02-14 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1063052603 | Cedar Hart Edell | Behavior Technician | 931 Sw Gaines St Apt A, Portland, OR 97239-3005 | 2020-01-12 |
| 1588204507 | Yarelisa Yesania Salcedo | Behavior Technician | 7800 Sw Barbur Blvd # 2, Portland, OR 97219-2823 | 2020-01-07 |
| 1669011045 | Devin Solar | Behavior Technician | 14405 Sw Beef Bend Rd Apt 3, Portland, OR 97224-1964 | 2020-01-02 |
| 1982243531 | Haley Anne Fellows | Behavior Technician | 8105 Se Taylor Ct, Portland, OR 97215-3059 | 2019-12-30 |
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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.