CANDACE AYANA COLEMAN-DAVIS (NPI# 1124528757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124528757 |
| Entity Type | Individual |
| Full Name | CANDACE AYANA COLEMAN-DAVIS |
| Practice Address |
15688 Sw Bristlecone Way Tigard OR 97223-2689 |
| Mailing Address |
41521 W 11 Mile Rd Novi MI 48375-1803 |
| Practice Telephone | 5039629664 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 2578097 | OR | Behavioral Health & Social Service Providers |
| Street Address |
15688 SW BRISTLECONE WAY |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1679104764 | Abigail Grace Towslee | Behavior Technician | 15290 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-4059 | 2020-01-28 |
| 1639712128 | Samantha Florence Boggini | Behavior Technician | 15642 Sw Barrington Ter, Tigard, OR 97224-1989 | 2019-10-28 |
| 1801368451 | Jeffrey Alan Dunkerley II | Behavior Technician | 15298 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-3904 | 2018-12-20 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1477004273 | Austen Wuellner | Behavior Technician | 8364 Sw Pfaffle St, Apt.109, Tigard, OR 97223-8480 | 2016-10-18 |
| 1225638091 | Nadia Bertram | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-10-29 |
| 1699385229 | Taylor Matthew Cowman | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-08-07 |
| 1942828710 | Allison Carter | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-07-08 |
| 1942834940 | Cynthia Neira | Behavior Technician | 15290 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-4059 | 2020-02-27 |
| Find all providers in TIGARD | ||||
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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.