JESSICA ANN EWALT (NPI# 1134787773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134787773 |
| Entity Type | Individual |
| Full Name | JESSICA ANN EWALT |
| Practice Address |
1305 Tacoma Ave S Ste 305 Tacoma WA 98402-1903 |
| Practice Telephone | 2533965800 |
| Mailing Telephone | 2533965800 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596661 | Jessica Nichole Ewalt | Nurse Anesthetist, Certified Registered | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-03-05 |
| Street Address |
1305 TACOMA AVE S STE 305 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669566600 | Amy Lennon Riggio | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2006-10-03 |
| 1760098693 | Ione Marie Dorris | Technician/Technologist | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-09-16 |
| 1902421506 | Rusty Shane Lister | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-06-10 |
| 1154961159 | Gloriam Zaid Mercado-justiniano | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2020-01-08 |
| 1215576152 | Roger Jonathan Gault | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-12-23 |
| 1932745767 | Jennifer Ann Marie Gaines | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-11-27 |
| 1891357711 | James Christian Da | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-07-01 |
| 1174183131 | Jamin A Taaffe | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-06-20 |
| 1760041396 | Kenneth Benjamin Leonard Landry | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-06-07 |
| 1790344513 | Peanina Savea Ah San Moore | Counselor | 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402-1903 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| 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 |
|---|---|---|---|---|
| 1407403272 | Christina Suarez | Assistant Behavior Analyst | 2602 S 38th St Ste A, Tacoma, WA 98409-7303 | 2019-08-26 |
| 1497378178 | Shari Jo Lopez | Assistant Behavior Analyst | 4301 S Pine St Ste 505, Tacoma, WA 98409 | 2020-05-28 |
| 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 |
| 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 |
| 1730605676 | Talena Maree Weber | Assistant Behavior Analyst | 157 S Howard St Ste 310, Spokane, WA 99201-4421 | 2017-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA ANN EWALT.
| 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.