EMMA ROSE BLOOMQUIST (NPI# 1053970020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053970020 |
| Entity Type | Individual |
| Full Name | EMMA ROSE BLOOMQUIST |
| Practice Address |
12901 Se 97th Ave Ste 180 Clackamas OR 97015-7903 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9712066337 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | OR | Behavioral Health & Social Service Providers |
| Street Address |
12901 SE 97TH AVE STE 180 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992228506 | Angela Watson | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2017-07-25 |
| 1700411279 | Tyler Danduy Nguyen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-03-05 |
| 1053944736 | Celina Prado | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-20 |
| 1437781671 | Madison Bieker | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-02-05 |
| 1447881008 | Maria Granados | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1578194288 | Rebecca Hunt | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1407486004 | Kyra June Medgin | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-22 |
| 1952940496 | Kelsi Lynn Davis | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-01 |
| 1932746336 | Arrow Bless | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-04 |
| 1598302044 | Andrew Eric Jensen | Behavior Technician | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1578194288 | Rebecca Hunt | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2020-01-31 |
| 1932746336 | Arrow Bless | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-12-04 |
| 1720636855 | Lauren Alexis Prado | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-09-02 |
| 1598310807 | Sheila Montgomery | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-08-04 |
| 1952955072 | Alison Jane Jacobson | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2019-07-26 |
| 1447720909 | Sharonda White | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2018-11-27 |
| 1205315405 | Faith Kaitlyn Trewhella | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2018-08-08 |
| 1902390859 | Erik Michael Hughes I | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2018-06-14 |
| 1740773258 | Nikole Kruger | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2018-06-08 |
| 1659863512 | Katelynn Kern | Behavioral Analyst | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015-7903 | 2018-06-05 |
| Find all providers in CLACKAMAS | ||||
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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.