ELIZABETH BROOKE STOUT (NPI# 1861731739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861731739 |
Entity Type | Individual |
Full Name | ELIZABETH BROOKE STOUT |
Credential | BCBA |
Practice Address |
1570 Wilmington Drive Ste 220 Dupont WA 98327 |
Mailing Address |
3125 26th Ave Ne Olympia WA 98506-3014 |
Practice Telephone | 2064534482 |
Mailing Telephone | 3605569777 |
Enumeration Date | 2013-02-12 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033475504 | Elizabeth Ann Stout | Occupational Therapy Assistant | 10552 Bastille Ln, Apt. 205, Orlando, FL 32836-4622 | 2012-04-09 |
1144375494 | Elizabeth Stout | Nurse Practitioner | 2116 Hillsboro Valley Park Road, High Ridge, MO 63049-0452 | 2007-01-25 |
1063760916 | Elizabeth Stout | Psychologist | 715 N College Ave, El Dorado, AR 71730-4403 | 2012-08-27 |
1194087098 | Elizabeth Mary Stout | Speech-Language Pathologist | 1015 6th St, Suite 106, Anacortes, WA 98221-1795 | 2012-06-15 |
Street Address |
1570 WILMINGTON DRIVE STE 220 |
City | DUPONT |
State | WA |
Zip Code | 98327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932767787 | Kendell Marie Marshall | Behavior Technician | 1570 Wilmington Drive, Suite 220, Dupont, WA 98327 | 2019-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
1184902116 | Lidiya Kozlova | Massage Therapist | 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 | 2011-07-25 |
1093043259 | Asa Nels Hansen | Chiropractor | 1000 Station Drive, Suite 100, Dupont, WA 98327 | 2009-11-30 |
Find all providers in zip 98327 |
Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091076 | Kendal Erin Sprague | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2020-10-19 |
1043825359 | Molly Mccartney | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2020-09-14 |
1144855602 | Latesha Shinese Wood | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2020-03-05 |
1982237525 | Heavyn-marie Soudaphone Hatsabouth | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2020-02-21 |
1700432457 | Amber Ramirez | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2019-08-16 |
1306238944 | Nechelle Dolata | Behavioral Analyst | 1570 Wilmington Dr, Suite 220, Dupont, WA 98327-8773 | 2015-02-18 |
1760812713 | Michelle Weible | Behavioral Analyst | 1570 Wilmington Dr Ste 220, Dupont, WA 98327-8773 | 2013-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416900 | Angelica Yu | Behavioral Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
1891392254 | Samantha Deanne Beal | Behavioral Analyst | 14736 Rocky Blue Acres Ln, 14736 Rocky Blue Acres Ln Se, Yelm, WA 98597-8006 | 2020-10-07 |
1629685466 | Jazmin Keymolen | Behavioral Analyst | 9901 Ne 7th Ave Unit C-16, Vancouver, WA 98685-4523 | 2020-09-25 |
1235746355 | Abigail Teresa Gimness | Behavioral Analyst | 700 11th St Apt C5, Bellingham, WA 98225-6232 | 2020-09-24 |
1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
1841804036 | Ryan Leckie | Behavioral Analyst | 2520 Iron St, Bellingham, WA 98225-3515 | 2020-09-03 |
1902410327 | Michele Sevart | Behavioral Analyst | 590 Timber Creek Dr Nw, Issaquah, WA 98027-5650 | 2020-09-02 |
1992318323 | Behavior Changes LLC | Behavioral Analyst | 4380 Victory Pl Sw, Port Orchard, WA 98367-7441 | 2020-08-25 |
1023620606 | Marquicia Dominguez | Behavioral Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
1932719499 | Michael Mcmullen | Behavioral Analyst | 903 144th Street Ct S, Tacoma, WA 98444-3337 | 2020-08-08 |
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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.