CHRYSTAL JOLICOEUR (NPI# 1073178497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073178497 |
| Entity Type | Individual |
| Full Name | CHRYSTAL JOLICOEUR |
| Practice Address |
555 E 15th Ave Eugene OR 97401-4314 |
| Mailing Address |
Po Box 1143 Marcola OR 97454-1143 |
| Practice Telephone | 5413450805 |
| Mailing Telephone | 5418529959 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | ABA-IN-10196296 | OR | Behavioral Health & Social Service Providers |
| Street Address |
555 E 15TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861862955 | Evan Ryerson | Technician, Other | 555 E 15th Ave, Eugene, OR 97401-4314 | 2015-10-01 |
| 1205437043 | Megan Pauls | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2020-11-06 |
| 1134733918 | Tyler L Saraceno | Behavioral Analyst | 555 E 15th Ave, Eugene, OR 97401-4314 | 2020-08-31 |
| 1356908297 | Isabella Laughlin | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2019-05-27 |
| 1508421900 | Casey Grace Kirkendall | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2019-05-01 |
| 1083279483 | Ryan Lawson | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2019-05-01 |
| 1962972174 | Natalie Townsend | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2018-11-29 |
| 1376013987 | Alex Vanderheid-nye | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2018-11-27 |
| 1417443250 | Sophia Anice King | Behavioral Analyst | 555 E 15th Ave, Eugene, OR 97401-4314 | 2018-07-05 |
| 1508392846 | Shambree Coleman | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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 |
|---|---|---|---|---|
| 1144863275 | Mckenna Faith West | Behavior Technician | 1142 Willagillespie Rd Unit 9, Eugene, OR 97401-2142 | 2019-10-22 |
| 1013565670 | Jessica Anne Collie | Behavior Technician | 1142 Willagillespie Rd # 9, Eugene, OR 97401-2142 | 2019-08-27 |
| 1083260368 | Bethany Marie Darnell | Behavior Technician | 1142 Willagillespie Rd Ste 9, Eugene, OR 97401-2142 | 2019-08-13 |
| 1437686342 | Kelcie-marie Naleieha | Behavior Technician | 275 S Garden Way Apt 331, Eugene, OR 97401-5947 | 2017-05-23 |
| 1790236099 | Machelle Goodwin | Behavior Technician | 1220 Jacobs Dr, #39, Eugene, OR 97402-1973 | 2016-10-21 |
| 1134570609 | Nicole Schering | Behavior Technician | 755 N Bertelsen Rd, Eugene, OR 97402-6804 | 2016-06-27 |
| 1467786939 | Christina Nicole Barba | Behavior Technician | 134 E 13th Ave Ste 2b, Eugene, OR 97401 | 2009-09-30 |
| 1205437043 | Megan Pauls | Behavior Technician | 555 E 15th Ave, Eugene, OR 97401-4314 | 2020-11-06 |
| 1457951964 | Maggie Dale Van Wey-wells | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-10-26 |
| 1477150860 | Britny V Belcher | Behavior Technician | 1142 Willagillespie Rd Ste 9, Eugene, OR 97401-2142 | 2020-10-08 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on CHRYSTAL JOLICOEUR.
| 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.