MARIA CORONADO REBOLLEDO (NPI# 1962964460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962964460 |
| Entity Type | Individual |
| Full Name | MARIA CORONADO REBOLLEDO |
| Practice Address |
11335 Ne 122nd Way Ste 105 Kirkland WA 98034-6933 |
| Mailing Address |
1055 E Colorado Blvd Pasadena CA 91106-2327 |
| Practice Telephone | 8182416780 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| 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 |
| Street Address |
11335 NE 122ND WAY STE 105 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231218 | Shellie Respess | Counselor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-02-25 |
| 1609477538 | Copestone Psychiatric, LLC | Nurse Practitioner | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2020-11-06 |
| 1982226353 | Emily Greene-hartsfield | Naturopath | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2020-05-08 |
| 1164079968 | Jennifer Lake | Counselor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-08-26 |
| 1184285272 | Alex Lee Engen | Chiropractor | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-06-28 |
| 1841752755 | Lindsey Grimm | Behavior Technician | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-04-01 |
| 1437610797 | Talia Keller | Behavior Technician | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2019-03-28 |
| 1013487925 | Salute Nutrition, Pllc | Nutritionist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2018-12-04 |
| 1134517261 | Flow Psychology Pllc | Psychologist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-12-23 |
| 1407250079 | Clairemarie Clark | Psychologist | 11335 Ne 122nd Way Ste 105, Kirkland, WA 98034-6933 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1639651219 | Nicole Victoria Bash | Behavior Technician | 8848 Ne 116th Pl, Kirkland, WA 98034-6113 | 2018-08-30 |
| 1679052682 | Marissa Elizabeth Mcminn | Behavior Technician | 11720 Ne 130th Pl Apt G20, Kirkland, WA 98034-2934 | 2018-08-09 |
| 1699264499 | Kristine Wirtz | Behavior Technician | 113 Evergreen Dr, Kirkland, IL 60146-8803 | 2018-05-07 |
| 1245756006 | Aporosa Laqila | Behavior Technician | 12842 Ne 102nd Pl, Kirkland, WA 98033-5248 | 2017-08-14 |
| 1699216614 | Camilla Kuhns | Behavior Technician | 13815 123rd Ave Ne, Kirkland, WA 98034-2248 | 2017-03-09 |
| 1275084394 | Henry Rogers | Behavior Technician | 13307 92nd Ave Ne, Kirkland, WA 98034-1867 | 2016-10-24 |
| 1730514118 | Courtney Lynn Martin | Behavior Technician | 9811 Ne 130th Pl Apt 106, Kirkland, WA 98034-2782 | 2013-09-04 |
| 1063012565 | Racheal Sauceda | Behavior Technician | 1003 7th Ave Ste A, Kirkland, WA 98033-5779 | 2020-10-26 |
| Find all providers in KIRKLAND | ||||
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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.