ERIC LEE ALLEN (NPI# 1144780552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144780552 |
| Entity Type | Individual |
| Full Name | ERIC LEE ALLEN |
| Practice Address |
912 Ne Kelly Ave Gresham OR 97030-5629 |
| Mailing Address |
912 Ne Kelly Ave Ste 100 Gresham OR 97030-5631 |
| Practice Telephone | 5039125502 |
| Mailing Telephone | 5039125502 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1538394283 | Eric Allen | Physical Therapist | 1230 Peachtree St, Ste 1800, Atlanta, GA 30309-3574 | 2009-05-26 |
| 1336233402 | Eric Andrew Allen | Podiatrist | 34509 9th Ave South, #305, Federal Way, WA 98003 | 2006-10-03 |
| 1962422139 | Eric John Allen | Physical Therapist | 685 Avenue of The Cities, Silvis, IL 61282-7003 | 2006-07-20 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1811528516 | Eric R Allen | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2020-01-31 |
| 1922457787 | Eric Allen | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2016-06-11 |
| 1447611694 | Eric W Allen | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2016-03-16 |
| 1922471796 | Eric Leon Allen | Massage Therapist | 2475 E Nine Mile Rd Ste K, Pensacola, FL 32514-7796 | 2015-11-03 |
| Street Address |
912 NE KELLY AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962655407 | Erik Michael Rasmusson | Counselor | 912 Ne Kelly Ave, Gresham, OR 97030 | 2008-10-28 |
| 1922645431 | Yamile J Correa | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-12-03 |
| 1780230615 | Paul Willis | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-08-15 |
| 1730641069 | Kyla Merino | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-04-04 |
| 1811457229 | Abigale Anne Mortensen | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-21 |
| 1447710850 | Shekinah Elizabeth Loconte | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-21 |
| 1588123046 | Brian Everett Stevenson | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-14 |
| 1639634249 | Kathryn E Allen | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-02-07 |
| 1083178917 | Maria Refugio Rodas Garcia | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-01-24 |
| 1982174827 | Devinity Larraine Robertson | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1336509603 | Jennifer Rose Cox | Behavioral Analyst | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2016-03-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1083247878 | Ileana G Gonzalez | Behavioral Analyst | 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 | 2020-02-20 |
| 1992338677 | Ana Georgina Acosta | Behavioral Analyst | 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 | 2020-02-20 |
| 1588204382 | Julia Erin Moore | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2020-01-09 |
| 1922645431 | Yamile J Correa | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-12-03 |
| 1316581291 | Shea Marie Gowdy | Behavioral Analyst | 912 Ne Kelly Ave Ste 100, Gresham, OR 97030-5631 | 2019-11-04 |
| 1538703558 | Selam Kahassay | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-11-01 |
| 1336783448 | Sierra Rose Smith | Behavioral Analyst | 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 | 2019-10-31 |
| 1003450222 | Hailee Tyne Fischer | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-10-30 |
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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.