MRS. KATELYN ANNE ZISSIMOS (NPI# 1083199723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083199723 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN ANNE ZISSIMOS |
| Practice Address |
Leaps and Beyond Inc. 231 Se Barrington Dr. Ste 203 Oak Harbor WA 98277-3200 |
| Practice Telephone | 3602400022 |
| Mailing Telephone | 3602400022 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | WA | Behavioral Health & Social Service Providers |
| Street Address |
LEAPS AND BEYOND INC. 231 SE BARRINGTON DR. STE 203 |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| 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 |
|---|---|---|---|---|
| 1508403072 | Brittany Mcelliott | Behavior Technician | Leaps and Beyond Inc, 231 Se Barrington Dr . Ste 203, Oak Harbor, WA 98227-3200 | 2019-12-04 |
| 1518516723 | Darin Jeffrey Worley | Behavior Technician | 1430 Bonnie View Acres Rd, Oak Harbor, WA 98277-8440 | 2019-09-10 |
| 1366003287 | Kathryn Kaatz | Behavior Technician | 32650 State Route 20 Ste 204, Oak Harbor, WA 98277-2641 | 2019-06-21 |
| 1528538188 | Sarah M Saunders | Behavior Technician | 32650 State Route 20 Unit 204, Oak Harbor, WA 98277-2641 | 2018-11-27 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1043705403 | Carolyn Louise Vasquez | Behavior Technician | 31955 Highway 20, Oak Harbor, WA 98277-5211 | 2018-06-28 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1366945628 | Emily Mosher | Behavior Technician | 231 Se Barrington Dr Ste 309, Oak Harbor, WA 98277-3200 | 2018-03-13 |
| 1700302338 | Haylee D Little | Behavior Technician | 583 Se 6th Ave, Oak Harbor, WA 98277-3729 | 2017-08-15 |
| 1215477203 | Khadijah Curry | Behavior Technician | 730 Se 8th Ave Apt C201, Oak Harbor, WA 98277-4764 | 2017-02-24 |
| Find all providers in OAK HARBOR | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
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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.