KELLY ANNE BERRETTA (NPI# 1225563539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225563539 |
| Entity Type | Individual |
| Full Name | KELLY ANNE BERRETTA |
| Practice Address |
1800 112th Ave Ne Bellevue WA 98004-2993 |
| Practice Telephone | 4256432133 |
| Mailing Telephone | 4256432133 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1800 112TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215074 | Christine Ann Mckenzie | Social Worker | 1800 112th Ave Ne, Ste 220w, Bellevue, WA 98005 | 2006-04-18 |
| 1477160380 | Ryan Nichols M.div., Sudp | Counselor | 1800 112th Ave Ne, Bellevue, WA 98004-2993 | 2020-09-24 |
| 1427680560 | Younghee Kim Manogaran | Counselor | 1800 112th Ave Ne, Bellevue, WA 98004-2993 | 2020-02-06 |
| 1508356320 | Mackenzie Juanita Bowers | Behavioral Analyst | 1800 112th Ave Ne, Bellevue, WA 98004-2993 | 2018-05-16 |
| 1952800484 | Erika Patricia Vantrood | Behavioral Analyst | 1800 112th Ave Ne, Bellevue, WA 98004-2993 | 2018-02-11 |
| 1609394527 | Danielle Caitlin Mena | Behavioral Analyst | 1800 112th Ave Ne, Suite # 260e, Bellevue, WA 98004 | 2017-08-30 |
| 1508391707 | Katie Wilson | Behavioral Analyst | 1800 112th Ave Ne, Suite 260e, Bellevue, WA 98004-2993 | 2017-04-25 |
| 1023560760 | Dani-rae Edwards | Behavioral Analyst | 1800 112th Ave Ne, Bellevue, WA 98004 | 2016-10-28 |
| 1093110983 | Barry Mark Glatt | Counselor | 1800 112th Ave Ne, #150, Bellevue, WA 98004-2993 | 2014-11-04 |
| 1518386838 | Philip Lewis Griffin | Counselor | 1800 112th Ave Ne, 150w, Bellevue, WA 98004-2993 | 2014-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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| 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 |
|---|---|---|---|---|
| 1780212282 | Sprout Therapy Group, Pllc | Behavioral Analyst | 1800 154th Ave Ne Apt E240, Bellevue, WA 98007-4381 | 2020-03-30 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1417486218 | Alexandra Nicole Detzner | Behavioral Analyst | 12729 Northup Way Ste 23, Bellevue, WA 98005-1935 | 2017-06-06 |
| 1568900199 | Pamela Lyons | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-02-02 |
| 1841743770 | Masumi Oki | Behavioral Analyst | 929 109th Ave Ne, Bellevue, WA 98004-4404 | 2016-07-27 |
| 1437509817 | Lindsay Boyer | Behavioral Analyst | 708 Broadway St, Bellevue, IA 52031-9319 | 2016-06-16 |
| 1043664360 | Grace Eugene Lee | Behavioral Analyst | 14510 Ne 20th St, #203, Bellevue, WA 98007-3715 | 2016-04-22 |
| 1992189567 | Elizabeth Chase | Behavioral Analyst | 13010 Ne 20th St., Ste 300, Bellevue, WA 98005-2099 | 2015-07-14 |
| 1477934123 | Kathleen Girnus | Behavioral Analyst | 13010 Ne 20th St Ste 100, Bellevue, WA 98005-2037 | 2015-06-17 |
| 1558740613 | Alicia Hannah Cable | Behavioral Analyst | 13256 Ne 20th Street Suite 1, Bellevue, WA 98005 | 2015-05-22 |
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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.