BETHANY LEEANN IMUS (NPI# 1245858851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245858851 |
| Entity Type | Individual |
| Full Name | BETHANY LEEANN IMUS |
| Practice Address |
1550 Ne Williamson Blvd Ste 120 Bend OR 97701-6091 |
| Mailing Address |
1244 Ne 4th St Apt 5 Bend OR 97701-4358 |
| Practice Telephone | 5416405601 |
| Mailing Telephone | 5034078976 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 Ne Williamson Blvd Ste 120, Bend, OR 977016091 | 5416405601 |
| Street Address |
1550 NE WILLIAMSON BLVD STE 120 |
| City | BEND |
| State | OR |
| Zip Code | 97701-6091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598090516 | Mary Winfrey | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701 | 2009-10-08 |
| 1023615879 | Gabrielle Johnson | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-10-05 |
| 1962019455 | Molly Alysabeth Mcconahy | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-09-28 |
| 1487271979 | Anthony Parker-hoang | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-06-30 |
| 1457994238 | Victoria Soliz | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2019-10-23 |
| 1922658640 | Amy Marie Lawrence | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6071 | 2019-09-14 |
| 1558920744 | Sarah Shapiro | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6071 | 2019-06-11 |
| 1801454855 | Taylor Jane Black | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6071 | 2019-06-04 |
| 1356806053 | Kelsey D Christensen | Behavioral Analyst | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6071 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1467077628 | Holly Brandt | Behavior Technician | 478 Ne Burnside Ave, Bend, OR 97701-5123 | 2020-06-13 |
| 1831730969 | Caroline Arechiga | Behavior Technician | 1550 Ne Williamson Blvd Ste 12097703, Bend, OR 97701-6091 | 2019-09-30 |
| 1942861422 | Marlon Galindo | Behavior Technician | 1550 Ne Williamson Blvd # 120, Bend, OR 97701-6071 | 2019-06-25 |
| 1366949562 | Haley Alexandra Davis | Behavior Technician | 300 Se Reed Market Rd # 205, Bend, OR 97702-2237 | 2018-04-12 |
| 1881191047 | Elizabeth Prieto | Behavior Technician | 19800 Village Office Ct # Cf104, Bend, OR 97702-1872 | 2018-04-12 |
| 1992211288 | Julie Haskett | Behavior Technician | 300 Se Reed Market Rd Ste 205, Bend, OR 97702-2237 | 2017-12-21 |
| 1023615879 | Gabrielle Johnson | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-10-05 |
| 1821600651 | Emilee Dawson | Behavior Technician | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2020-08-21 |
| 1487271979 | Anthony Parker-hoang | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-06-30 |
| 1003430802 | Jason Prinz Blume | Behavior Technician | 750 Nw Charbonneau St., Suite 201, Bend, OR 97701 | 2020-06-08 |
| Find all providers in BEND | ||||
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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.