BLAYNE D STEMPLE (NPI# 1083141253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083141253 |
| Entity Type | Individual |
| Full Name | BLAYNE D STEMPLE |
| Practice Address |
4909 25th Ave Ne Seattle WA 98105-4107 |
| Mailing Address |
14120 Ne 183rd St Unit 313 Woodinville WA 98072-7073 |
| Practice Telephone | 2069878080 |
| Mailing Telephone | 4794227396 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BA60906696 | WA | Behavioral Health & Social Service Providers |
| Street Address |
4909 25TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215952288 | Soo-jeong Kim | Psychiatry & Neurology | 4909 25th Ave Ne, Seattle Childrens Autism Center, Seattle, WA 98105-4107 | 2006-07-12 |
| 1609485242 | Jill Jacqueline Locke | Psychologist | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2020-07-29 |
| 1043717606 | Elizabeth Hatzenbuhler | Behavioral Analyst | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2018-04-10 |
| 1730604026 | Katelyn Cotter | Nurse Practitioner | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2017-08-07 |
| 1295106813 | Molly Ewbank | Counselor | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2015-10-08 |
| 1568833184 | Kelley Cade | Counselor | 4909 25th Ave Ne, Suite 120, Seattle, WA 98105-4107 | 2015-10-08 |
| 1114398872 | Seattle Children's Hospital | Counselor | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2015-10-07 |
| 1467828772 | Tara Godinho | Behavioral Analyst | 4909 25th Ave Ne, Suite 120, Seattle, WA 98105-4107 | 2015-08-20 |
| 1386050748 | Eunice Barron | Behavioral Analyst | 4909 25th Ave Ne, Seattle, WA 98105-4107 | 2014-07-07 |
| 1144660788 | Coleen Mary Gilchrist | Occupational Therapist | 4909 25th Ave Ne, Suite 200, Seattle, WA 98105-4107 | 2013-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| 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 |
|---|---|---|---|---|
| 1003416900 | Angelica Yu | Behavioral Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
| 1023620606 | Marquicia Dominguez | Behavioral Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
| 1306462379 | B.a.n.d.s. | Behavioral Analyst | 819 Virginia St Unit 1603, Seattle, WA 98101-4425 | 2020-06-24 |
| 1881213429 | Wa Mc Sprout 1 LLC | Behavioral Analyst | 100 S King St Ste 100-1023, Seattle, WA 98104-3844 | 2020-04-14 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1902442676 | Gwendolyn Pinson | Behavioral Analyst | Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 | 2019-11-18 |
| 1538700109 | Hannah Stemple | Behavioral Analyst | 7016 15th Ave Ne, Seattle, WA 98115-5732 | 2019-10-03 |
| 1255982328 | Daniel Zahajko | Behavioral Analyst | 531 Ne 86th St, Seattle, WA 98115-2930 | 2019-09-20 |
| 1912560459 | Allison Chancellor, LLC | Behavioral Analyst | 1222 E Madison St Apt 419, Seattle, WA 98122-4221 | 2019-04-19 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
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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.