ELISE GILMORE (NPI# 1003440009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003440009 |
| Entity Type | Individual |
| Full Name | ELISE GILMORE |
| Practice Address |
707 Ne Couch St Portland OR 97232-2922 |
| Practice Telephone | 5035424603 |
| Practice Fax Number | 5032336093 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
707 NE COUCH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003248642 | Janus Youth Programs, Inc. | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-08-06 |
| 1619506391 | Danica M Person | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-04-05 |
| 1306485446 | Ian Henderson | Day Training/Habilitation Specialist | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-01-06 |
| 1144866112 | Emily Mckenna | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-25 |
| 1407492903 | Lowhren Kathleen Aceves | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-20 |
| 1730724923 | Lora Lynn Elbon | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-11 |
| 1053956441 | Ell Em Eff | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-09 |
| 1356985352 | Gwynne L Mccay | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-01 |
| 1548804651 | Glori Johnson | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-10-31 |
| 1689215832 | Taylor Lenore Carson | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1023626470 | Emma Jayme Jordan | Assistant Behavior Analyst | 4730 Se Belmont St Unit 2, Portland, OR 97215-1737 | 2020-07-21 |
| 1316582612 | Emily Mishler | Assistant Behavior Analyst | 1809 Sw 11th Ave Apt 113, Portland, OR 97201-3268 | 2019-11-10 |
| 1467078683 | Kevin Brezler | Assistant Behavior Analyst | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-06-23 |
| 1144783853 | Pitchayatorn Sarasmut | Assistant Behavior Analyst | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-04-09 |
| 1902373855 | Alexandra Lillian Ecker | Assistant Behavior Analyst | 527 Ocean Ave # 19, Portland, ME 04103-4972 | 2018-10-30 |
| 1386150241 | Nicole Williford | Assistant Behavior Analyst | 121 Sw Salmon St Fl 11, Portland, OR 97204-2908 | 2017-12-14 |
| 1154868396 | Gabriela Gonzalez | Assistant Behavior Analyst | 3415 Se Powell Blvd, Parry Center/waverly, Portland, OR 97202 | 2017-01-26 |
| 1700329695 | Jonathan Mcqueen | Assistant Behavior Analyst | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-11-23 |
| 1205378478 | Brenna Johnson | Assistant Behavior Analyst | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1376028753 | Chyvaila Anne Tachell | Assistant Behavior Analyst | 329 Fossholm St Ne Apt A1, Silverton, OR 97381-1556 | 2018-10-01 |
| 1003392069 | Alexandra Jeanel Cabading Pardico | Assistant Behavior Analyst | 2985 Ne Moda Way Apt 333, Hillsboro, OR 97124-7019 | 2018-07-12 |
| 1649719345 | Venessa Brewton | Assistant Behavior Analyst | 8372 Enchanted Way, Turner, OR 97392 | 2017-02-15 |
| 1154962041 | Amanda R Macpherson | Assistant Behavior Analyst | 1369 N Pacific Hwy # 1369, Woodburn, OR 97071-3617 | 2019-10-02 |
| 1376184374 | Kiel Rotarius | Assistant Behavior Analyst | 5121 Ne Elam Young Pkwy Ste A, Hillsboro, OR 97124-8295 | 2019-10-01 |
| 1902447907 | Janean Jarvis | Assistant Behavior Analyst | 5121 Ne Elam Young Pkwy Ste A, Hillsboro, OR 97124-8295 | 2019-10-01 |
| 1710536271 | Caroline Hasbrook | Assistant Behavior Analyst | 1790 W 11th Ave, Eugene, OR 97402-3758 | 2019-09-08 |
| 1871140780 | Yasmine Nariah Jameson-mcdole | Assistant Behavior Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-08-25 |
| 1427619980 | Danielle Elizabeth Cotten | Assistant Behavior Analyst | 134 E 13th Ave, Eugene, OR 97401-3587 | 2019-06-25 |
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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.