KELLAN PONTAROLO


Address: 888 Western Avenue Apt. 815, Seattle, WA 98104
Phone: 3075321946

KELLAN PONTAROLO (NPI# 1174980163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174980163
Entity Type Individual
Full Name KELLAN PONTAROLO
Practice Address 888 Western Avenue Apt. 815
Seattle
WA 98104
Mailing Address 888 Western Ave Apt 815
Seattle
WA 98104-1545
Practice Telephone 3075321946
Enumeration Date 2016-01-21
Last Update Date 2016-01-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst WA Behavioral Health & Social Service Providers

Office Location

Street Address 888 WESTERN AVENUE APT. 815
City SEATTLE
State WA
Zip Code 98104

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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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1023620606 Marquicia Dominguez Behavioral Analyst 3811a 12th Ave W, Seattle, WA 98119-1307 2020-08-17
1306462379 B.a.n.d.s. Behavioral Analyst 819 Virginia St Unit 1603, Seattle, WA 98101-4425 2020-06-24
1881213429 Wa Mc Sprout 1 LLC Behavioral Analyst 100 S King St Ste 100-1023, Seattle, WA 98104-3844 2020-04-14
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1902442676 Gwendolyn Pinson Behavioral Analyst Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 2019-11-18
1538700109 Hannah Stemple Behavioral Analyst 7016 15th Ave Ne, Seattle, WA 98115-5732 2019-10-03
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1912560459 Allison Chancellor, LLC Behavioral Analyst 1222 E Madison St Apt 419, Seattle, WA 98122-4221 2019-04-19
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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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