KRISTEN RUCKDASHEL (NPI# 1114492931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492931 |
| Entity Type | Individual |
| Full Name | KRISTEN RUCKDASHEL |
| Practice Address |
603 Medical Pkwy Enterprise OR 97828-5124 |
| Practice Telephone | 5414264502 |
| Practice Fax Number | 5414266403 |
| Mailing Telephone | 5414264502 |
| Mailing Fax Number | 5414266403 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
603 MEDICAL PKWY |
| City | ENTERPRISE |
| State | OR |
| Zip Code | 97828-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304394 | Winding Waters Clinic PC | Clinic/Center | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2005-08-23 |
| 1699250951 | Rachael Karlin | Acupuncturist | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2018-10-02 |
| 1811488778 | Kayla Linville | Family Medicine | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2018-05-25 |
| 1770094708 | Mckayla Forsberg | Social Worker | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2017-10-17 |
| 1013451046 | Kelsey Stowell | Massage Therapist | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2016-12-09 |
| 1891241162 | Anna Lembke | Counselor | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2016-08-28 |
| 1578910394 | Kevin Lee Vandenheuvel | Physician Assistant | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2016-05-23 |
| 1922475219 | Winding Waters Medical Clinic | Clinic/Center | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-08-21 |
| 1528442837 | Wallowa County Health Care District | General Acute Care Hospital | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-07-16 |
| 1750761284 | Emily Knudsen | Family Medicine | 603 Medical Pkwy, Enterprise, OR 97828-5124 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
| 1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
| 1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
| 1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
| 1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
| 1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
| 1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
| Find all providers in zip 97828 | ||||
| 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 |
|---|---|---|---|---|
| 1578103875 | Anna Lee Davis-pope | Behavior Technician | 142 Eagle Bend Rd, Enterprise, AL 36330-9341 | 2020-01-14 |
| 1013557313 | Janna Lyn Poling | Behavior Technician | 237 Wakefield Way, Enterprise, AL 36330-5082 | 2020-01-14 |
| 1639777618 | Mallory Elizabeth Smithart | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-10-13 |
| 1689281552 | Kelly Garner Gaskins | Behavior Technician | 204 N Main St, Enterprise, AL 36330-2539 | 2020-09-25 |
| 1235740739 | Megan S Legg | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-08-10 |
| 1962012294 | Sarah Parks | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-08-02 |
| 1124637707 | Hallie Carroll | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-07-29 |
| 1588273254 | Sean Cook | Behavior Technician | 201 W Lee St, Enterprise, AL 36330-2424 | 2020-07-28 |
| 1144848425 | Kaley H Carter | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-13 |
| 1962020347 | Sean Patrick Roehler | Behavior Technician | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2020-07-11 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 97828 |
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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.