STEPHANIE MIJO (NPI# 1093122806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093122806 |
| Entity Type | Individual |
| Full Name | STEPHANIE MIJO |
| Practice Address |
5415 Se Milwaukie Ave Portland OR 97202-4940 |
| Mailing Address |
Po Box 82819 Portland OR 97282-0819 |
| Practice Telephone | 5032335405 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
5415 SE MILWAUKIE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853173 | Nancy Kahaner | Obstetrics & Gynecology | 5415 Se Milwaukie Ave, Suite 1, Portland, OR 97202-4940 | 2006-03-03 |
| 1417492851 | Michal Sierra Dedrick | Behavioral Analyst | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2016-12-20 |
| 1003361858 | Jeffery Wise | Nurse Practitioner | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2016-08-22 |
| 1780138248 | Raeshawn Chresfield | Counselor | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2016-08-12 |
| 1437523461 | Chanel Walker-harris | Counselor | 5415 Se Milwaukie Ave, Portland, OR 97202 | 2015-11-13 |
| 1477920858 | Yvonne Carpenter | Behavioral Analyst | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2015-09-01 |
| 1518348515 | Tristan Penn | Behavioral Analyst | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2015-06-16 |
| 1891075685 | Robin D Steger | Counselor | 5415 Se Milwaukie Ave, Portland, OR 97202-4940 | 2011-08-24 |
| 1134433790 | Nancy Kahaner Do PC | Clinic/Center | 5415 Se Milwaukie Ave, Ste 1, Portland, OR 97202-4940 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
| 1134781776 | Sarah Anthony-hilgert | Behavioral Analyst | 7140 Sw Fir Loop Ste 105, Portland, OR 97223-8062 | 2019-07-03 |
| 1316506868 | Adi Einstein | Behavioral Analyst | 2234 Ne 44th Ave, Portland, OR 97213-1340 | 2019-06-09 |
| 1780248849 | Behavioral Learning Network - Oregon LLC | Behavioral Analyst | 1827 Ne 44th Ave Ste 390, Portland, OR 97213-1461 | 2019-04-24 |
| Find all providers in PORTLAND | ||||
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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.