SAMUEL ALEXANDER GALLUP


Address: 19800 Village Office Ct Ste 104, Bend, OR 97702-1813
Phone: 5414802570

SAMUEL ALEXANDER GALLUP (NPI# 1952866162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952866162
Entity Type Individual
Full Name SAMUEL ALEXANDER GALLUP
Practice Address 19800 Village Office Ct Ste 104
Bend
OR 97702-1813
Mailing Address 21204 Se Golden Market Ln
Bend
OR 97702-3651
Practice Telephone 5414802570
Mailing Telephone 5187274404
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 19800 VILLAGE OFFICE CT STE 104
City BEND
State OR
Zip Code 97702-1813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467696989 Jenny L Fischer Behavioral Analyst 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2009-04-28
1821600651 Emilee Dawson Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2020-08-21
1609418466 Whitney Bushnell Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2019-10-14
1487208344 Jacqueline Huchler Behavioral Analyst 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2019-07-30
1669031894 Jordan Otto Behavioral Analyst 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2019-06-11
1699246579 Lindsey Taylore Hallam Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2018-12-17
1417423831 Lauren Marie Crane Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2018-10-23
1992289219 Melia Millican Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2018-09-21
1336623644 Katherine Skilskyj Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2018-09-21
1396239638 Erica Nicole Heuer Assistant Behavior Analyst 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2018-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629676259 Amy Michelle Anderson Counselor 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 2020-10-15
1386259463 Jacob Rehder Counselor 19717 Mt Batchelor Dr, #226, Bend, OR 97702 2020-09-15
1497385215 Capacity Performance Therapy Physical Medicine & Rehabilitation 61125 Lodgepole Dr., Bend, OR 97702 2020-01-21
1962041707 Shift Bend Functional Medicine Family Medicine 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 2019-12-26
1609435049 Praxis Medical Group Inc Orthopaedic Surgery 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 2019-06-10
1013485754 Elana Leah Pesah Social Worker 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 2018-11-12
1104303239 Kyleigh Mcvey Massage Therapist 999 Sw Disk Dr, Bend, OR 97702 2018-07-21
1477042869 Siloe Castaneda Huerta Counselor 1340 Nw Wall, Bend, Or, Bend, OR 97702 2018-05-02
1164910808 Rebecca M Joyce Social Worker 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 2018-04-27
1093217978 Jennifer Bury Acupuncturist 296 Sw Columbia St Ste D1, Bend, OR 97702 2018-03-06
Find all providers in zip 97702

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467077628 Holly Brandt Behavior Technician 478 Ne Burnside Ave, Bend, OR 97701-5123 2020-06-13
1831730969 Caroline Arechiga Behavior Technician 1550 Ne Williamson Blvd Ste 12097703, Bend, OR 97701-6091 2019-09-30
1942861422 Marlon Galindo Behavior Technician 1550 Ne Williamson Blvd # 120, Bend, OR 97701-6071 2019-06-25
1366949562 Haley Alexandra Davis Behavior Technician 300 Se Reed Market Rd # 205, Bend, OR 97702-2237 2018-04-12
1881191047 Elizabeth Prieto Behavior Technician 19800 Village Office Ct # Cf104, Bend, OR 97702-1872 2018-04-12
1992211288 Julie Haskett Behavior Technician 300 Se Reed Market Rd Ste 205, Bend, OR 97702-2237 2017-12-21
1023615879 Gabrielle Johnson Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-10-05
1821600651 Emilee Dawson Behavior Technician 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 2020-08-21
1245858851 Bethany Leeann Imus Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-07-09
1487271979 Anthony Parker-hoang Behavior Technician 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 2020-06-30
Find all providers in BEND

Competitor

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City BEND
Zip Code 97702

Improve Information

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Dataset Information

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.

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