LAURINA PARRY LACEY (NPI# 1073174553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073174553 |
| Entity Type | Individual |
| Full Name | LAURINA PARRY LACEY |
| Practice Address |
940 Nw Garden Valley Blvd Ste 104 Roseburg OR 97471-2098 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5413784104 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| 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 |
940 NW GARDEN VALLEY BLVD STE 104 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693314 | Maddison Nicole Collings | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2020-03-11 |
| 1356972350 | Rhiannon Marie Keen | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2020-01-28 |
| 1306481098 | Hunter Aaron Creech | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-17 |
| 1871138883 | Tyler Kathleen Minnis | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-13 |
| 1184266702 | Ashley A Leisner-pacini | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-15 |
| 1578105292 | Bre Anna Marie Mckamey | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1720620495 | Tyler Lee Cleveland | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-10-14 |
| 1730739012 | Taylor Hamilton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-09-18 |
| 1225683188 | Kayla M Morton | Behavior Technician | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-08-07 |
| 1750933347 | Daricca Michele Kelly | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| 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 |
|---|---|---|---|---|
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1275009078 | Wyndham Marie Noel Conway | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2018-10-18 |
| 1871138883 | Tyler Kathleen Minnis | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-13 |
| 1669022968 | Samantha Mcgraw | Behavioral Analyst | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1750933347 | Daricca Michele Kelly | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-07-12 |
| 1881257400 | Damian Michael Webber | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-04-18 |
| 1023577889 | Johnny Angel Garcia | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950156 | Jabbo Dire | Behavioral Analyst | 331 Lone Oaks Loop, Silverton, OR 97381-1470 | 2020-10-22 |
| 1295334043 | Callista Perez | Behavioral Analyst | 2020 Ne Linnea Dr Apt 309, Bend, OR 97701-4975 | 2020-10-22 |
| 1295334118 | Moriah J Spendolini | Behavioral Analyst | 3709 Citation Way, Medford, OR 97504-9022 | 2020-10-21 |
| 1376158055 | Compassionate Therapy for Autism, LLC | Behavioral Analyst | 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 | 2020-09-10 |
| 1588276364 | Climb Behavioral Solutions, LLC | Behavioral Analyst | 809b Se Sherman St, Portland, OR 97214-4666 | 2020-08-21 |
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
| 1235753138 | Or Mc Sprout 1 LLC | Behavioral Analyst | 700 Sw 5th Ave, Portland, OR 97204-2000 | 2020-06-05 |
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1780210583 | Cecilia Ramirez Espinoza | Behavioral Analyst | 107 N Trade St Apt A, Amity, OR 97101-2827 | 2020-03-12 |
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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.