MR. RICKY THATSANAVONGSA (NPI# 1912475476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912475476 |
| Entity Type | Individual |
| Full Name | MR. RICKY THATSANAVONGSA |
| Practice Address |
2100 24th Ave S Ste 260 Seattle WA 98144-4644 |
| Practice Telephone | 2064468813 |
| Mailing Telephone | 2064468813 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1026117 | 05 |
| Street Address |
2100 24TH AVE S STE 260 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578609244 | Kris William Sanborn | Social Worker | 2100 24th Ave S Ste 260, Seattle, WA 98144 | 2007-01-30 |
| 1306456348 | Erek Alyx Steadman | Social Worker | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2020-08-04 |
| 1578106324 | Adreyenne Patterson | Student in an Organized Health Care Education/Training Program | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-10-24 |
| 1114578564 | Madeleine Ferguson | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-09-26 |
| 1982252532 | Cordero Reid | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-08-27 |
| 1881241982 | Sierra Mision | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-08-22 |
| 1619523081 | Angela Hudson | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-08-12 |
| 1336793959 | Asia Wait | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-07-31 |
| 1700430329 | Christopher Cronk | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-07-31 |
| 1225680218 | Haley Lozano | Counselor | 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 | 2019-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
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| 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 |
|---|---|---|---|---|
| 1003416900 | Angelica Yu | Behavioral Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
| 1023620606 | Marquicia Dominguez | Behavioral Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
| 1306462379 | B.a.n.d.s. | Behavioral Analyst | 819 Virginia St Unit 1603, Seattle, WA 98101-4425 | 2020-06-24 |
| 1881213429 | Wa Mc Sprout 1 LLC | Behavioral Analyst | 100 S King St Ste 100-1023, Seattle, WA 98104-3844 | 2020-04-14 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1902442676 | Gwendolyn Pinson | Behavioral Analyst | Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 | 2019-11-18 |
| 1538700109 | Hannah Stemple | Behavioral Analyst | 7016 15th Ave Ne, Seattle, WA 98115-5732 | 2019-10-03 |
| 1255982328 | Daniel Zahajko | Behavioral Analyst | 531 Ne 86th St, Seattle, WA 98115-2930 | 2019-09-20 |
| 1912560459 | Allison Chancellor, LLC | Behavioral Analyst | 1222 E Madison St Apt 419, Seattle, WA 98122-4221 | 2019-04-19 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
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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.