JESSICA ANN GRAHAM (NPI# 1922612498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922612498 |
| Entity Type | Individual |
| Full Name | JESSICA ANN GRAHAM |
| Other Name | JESSICA KUCHINSKI |
| Practice Address |
6505 218th St Sw Ste 12 Mountlake Terrace WA 98043-2135 |
| Practice Telephone | 2063880544 |
| Mailing Telephone | 2063880544 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1215494984 | Jessica Paige Graham | Occupational Therapist | 8202 Elberta Dr, Ellicott City, MD 21043-6658 | 2019-02-28 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1174064836 | Jessica Graham | Specialist/Technologist | 8071 Windy Sea Cir, Huntington Beach, CA 92647-6335 | 2017-03-14 |
| 1831540574 | Jessica Graham | Speech-Language Pathologist | 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 | 2016-06-23 |
| 1588671143 | Jessica Ann Graham | Chiropractor | 1002 S Dakota St, Suite 101, Milbank, SD 57252-2700 | 2006-08-03 |
| 1457992232 | Jessica Erin Graham | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110-1081 | 2019-10-03 |
| 1902371412 | Jessica Kay Graham | Social Worker | 4000 W 9th St, Duluth, MN 55807-1563 | 2018-10-11 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| Street Address |
6505 218TH ST SW STE 12 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205390648 | Ko Eun Choi | Behavioral Analyst | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2019-01-30 |
| 1679180749 | Kyenaat Naz Sheikh | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-09-23 |
| 1700499423 | Danielle Pranin | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-08-24 |
| 1962029181 | Kelsie Thompson | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-07-03 |
| 1366068272 | Sydney Elise Stone | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-17 |
| 1174148795 | Isabella Ceriale | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-09 |
| 1225652209 | Wendy Mondoux | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-04 |
| 1962026575 | Alexis Nikole Little | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-05-31 |
| 1306472014 | James Byrnes | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-03-14 |
| 1386277903 | Makyla Elizabethann Washington | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| 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 |
|---|---|---|---|---|
| 1144884479 | Paul Mwaura Ndichu | Behavior Technician | 4308 226th St Sw, Mountlake Terrace, WA 98043-4577 | 2019-04-22 |
| 1306446729 | Emily Lauren Burmeister | Behavior Technician | 6021 244th St Sw Ste 400, Mountlake Terrace, WA 98043-5426 | 2020-10-26 |
| 1679180749 | Kyenaat Naz Sheikh | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-09-23 |
| 1700499423 | Danielle Pranin | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-08-24 |
| 1962029181 | Kelsie Thompson | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-07-03 |
| 1366068272 | Sydney Elise Stone | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-17 |
| 1174148795 | Isabella Ceriale | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-09 |
| 1225652209 | Wendy Mondoux | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-06-04 |
| 1639793193 | Azrael Howell | Behavior Technician | 6021 244th St Sw Ste 400, Mountlake Terrace, WA 98043-5426 | 2020-06-01 |
| 1962026575 | Alexis Nikole Little | Behavior Technician | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2020-05-31 |
| Find all providers in MOUNTLAKE TERRACE | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
Please comment or provide details below to improve the information on JESSICA ANN GRAHAM.
| 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.