JORDAN KENNETH DEKKER (NPI# 1114545340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114545340 |
| Entity Type | Individual |
| Full Name | JORDAN KENNETH DEKKER |
| Practice Address |
9901 Ne 7th Ave Ste C116 Vancouver WA 98685-4528 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 3605712432 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
9901 NE 7TH AVE STE C116 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98685-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144305 | Korin Grems | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2013-11-06 |
| 1447866306 | Ellyssa K Gogenola | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-09-16 |
| 1881208676 | Valencia Dean Williams | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-08-31 |
| 1942836747 | Jennifer Lynn Jones | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-13 |
| 1275168015 | Jacob Bryan Davidson | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-11 |
| 1740815000 | Julianna Tan | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-06 |
| 1952934523 | Teghan Elizebeth Wicks | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-21 |
| 1396378626 | Ryan Miller | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-14 |
| 1376174839 | Isabel Leanne Matthews | Behavioral Analyst | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-02-03 |
| 1851939417 | Akira Linn Jackson | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2019-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
| 1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
| 1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
| 1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
| 1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
| 1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
| 1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
| Find all providers in zip 98685 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1508307075 | Ezekiel Brouhard | Assistant Behavior Analyst | 1014 Main Street, Vancouver, WA 98660 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790421 | Breanna Kraft | Assistant Behavior Analyst | 2317 N 134th St Apt 9, Seattle, WA 98133-7866 | 2020-05-03 |
| 1386265585 | Kate Elizabeth Ross | Assistant Behavior Analyst | Leaps and Beyond Inc 111 E Central Avenue, Spokane, WA 99208-8184 | 2020-04-29 |
| 1407403272 | Christina Suarez | Assistant Behavior Analyst | 2602 S 38th St Ste A, Tacoma, WA 98409-7303 | 2019-08-26 |
| 1376199760 | Juan M Jimenez | Assistant Behavior Analyst | 529 W 6th St, Port Angeles, WA 98362-5805 | 2019-08-13 |
| 1184282881 | Alexandra Ellen Grumbois | Assistant Behavior Analyst | 156 Boardwalk Way, Kelso, WA 98626-1880 | 2019-05-29 |
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1255894630 | Kathryn Ann Marie Sweeney | Assistant Behavior Analyst | 803 Sw 139th St, Burien, WA 98166-1219 | 2019-04-11 |
| 1497237887 | Jennifer Marie Ives | Assistant Behavior Analyst | 22845 Se 1st Pl Apt 215, Sammamish, WA 98074-5038 | 2018-08-31 |
| 1699256438 | Katelyn Baker | Assistant Behavior Analyst | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2018-08-28 |
| 1669991824 | Lindsay Mollison | Assistant Behavior Analyst | 22415 Se 231st St, Maple Valley, WA 98038-5000 | 2017-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORDAN KENNETH DEKKER.
| 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.