ALICIA ANN JUSTICE (NPI# 1205497484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205497484 |
| Entity Type | Individual |
| Full Name | ALICIA ANN JUSTICE |
| Practice Address |
5301 Tieton Dr Ste C Yakima WA 98908-3479 |
| Practice Telephone | 5099657100 |
| Mailing Telephone | 5099657100 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5301 TIETON DR STE C |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669580320 | Shannon L Hetletvedt | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2006-08-25 |
| 1538719752 | Elvira Brittany Lopez | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2019-09-19 |
| 1376196014 | Michelle Ann Johnson | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2019-07-22 |
| 1144798240 | Asael Munguia | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-11-06 |
| 1073096962 | Berenice Garcia Hernandez | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-09-07 |
| 1467931469 | Ayla Naomi Medina-ulloa | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-08-09 |
| 1851880660 | Juan Pablo Ortiz | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-05-07 |
| 1235626755 | Rebekah Ann Brown | Case Manager/Care Coordinator | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-19 |
| 1689171902 | Gina Marisol Perez | Interpreter | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-12 |
| 1932605482 | Kelly Nutting | Counselor | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
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| 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 |
|---|---|---|---|---|
| 1851951735 | Irvin Mendoza | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-06-13 |
| 1457903486 | Jamie Rae Jordan | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-07-10 |
| 1619539806 | Joselyn Ruiz-anguiano | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-07-08 |
| 1437716800 | Miguel Angel Pedroza | Behavior Technician | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-05-21 |
| 1144798240 | Asael Munguia | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-11-06 |
| 1548755390 | Omar Luna | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-06-25 |
| 1982193843 | Cheri Joy Bednarik | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-05-07 |
| 1174021703 | Lauren Andrelle Sensing | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-01-29 |
| 1558870717 | Kiley Sue Dunn | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2017-09-20 |
| 1104343896 | Amber Rose Inderbitzin | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2017-08-24 |
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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.