JESSICA CHAN (NPI# 1871989830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871989830 |
Entity Type | Individual |
Full Name | JESSICA CHAN |
Credential | L.P.C., B.C.B.A. |
Practice Address |
4724 Sw Macadam Ave Portland OR 97239 |
Mailing Address |
5525 N Williams Ave Portland OR 97217-2452 |
Practice Telephone | 5032353122 |
Enumeration Date | 2015-04-07 |
Last Update Date | 2015-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
C3570 | OR | Behavioral Health & Social Service Providers |
Y | 103K00000X | Behavioral Analyst | 1-15-18041 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033488242 | Jessica H Chan | Chiropractor | 1509 S State St, Chicago, IL 60605-2804 | 2011-12-16 |
1437767613 | Jessica Chan | Pharmacist | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-14 |
1528680956 | Jessica Jocelyn Chan | Pharmacist | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-05-07 |
1164992277 | Jessica Chan | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-01 |
1669957775 | Jessica Chan | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2018-09-25 |
1093201188 | Jessica Wei-yee Chan | Optometrist | 2011 N Roan St, Johnson City, TN 37601-3130 | 2018-07-02 |
1861942732 | Jessica Chan | Counselor | 2750 Sutterville Rd, Sacramento, CA 95820-1024 | 2016-10-04 |
1275920373 | Jessica Ivanka Treidl Chan | Radiology | 30 N 1900 E, #1a071, Salt Lake City, UT 84132-2140 | 2015-04-16 |
1275927485 | Jessica M Chan | Internal Medicine | 500 S Anaheim Hills Rd Ste 206, Anaheim, CA 92807-4759 | 2015-03-25 |
1902211840 | Jessica Chan | Family Medicine | 3885 24th St, San Francisco, CA 94114-3840 | 2014-06-30 |
Street Address |
4724 SW MACADAM AVE |
City | PORTLAND |
State | OR |
Zip Code | 97239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225379860 | Certified Languages International LLC | Interpreter | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2013-03-06 |
1033665088 | Amanda Koester | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-08-30 |
1700235447 | Brittney Merino | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-06-03 |
1447608666 | Maria Lisac | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-05-27 |
1205283504 | Ally Kemp | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-05-17 |
1265896237 | Brie Ann Wollman | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-04-06 |
1366804379 | Abagale Kielpinski | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-03-28 |
1659733871 | Kristen Briggs | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-03-26 |
1134581838 | Kaitlynn Blasquez | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-03-22 |
1316307069 | Natalie Perkins | Behavioral Analyst | 4724 Sw Macadam Ave, Portland, OR 97239-9701 | 2016-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
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 |
---|---|---|---|---|
1376158055 | Compassionate Therapy for Autism, LLC | Behavioral Analyst | 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 | 2020-09-10 |
1588276364 | Climb Behavioral Solutions, LLC | Behavioral Analyst | 809b Se Sherman St, Portland, OR 97214-4666 | 2020-08-21 |
1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
1235753138 | Or Mc Sprout 1 LLC | Behavioral Analyst | 700 Sw 5th Ave, Portland, OR 97204-2000 | 2020-06-05 |
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
1134781776 | Sarah Anthony-hilgert | Behavioral Analyst | 7140 Sw Fir Loop Ste 105, Portland, OR 97223-8062 | 2019-07-03 |
1316506868 | Adi Einstein | Behavioral Analyst | 2234 Ne 44th Ave, Portland, OR 97213-1340 | 2019-06-09 |
1780248849 | Behavioral Learning Network - Oregon LLC | Behavioral Analyst | 1827 Ne 44th Ave Ste 390, Portland, OR 97213-1461 | 2019-04-24 |
Find all providers in PORTLAND |
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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.