SARA BODLE (NPI# 1265949499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265949499 |
| Entity Type | Individual |
| Full Name | SARA BODLE |
| Practice Address |
10400 Ne 4th St Ste 500 Bellevue WA 98004-5175 |
| Mailing Address |
3110 Camino Del Rio S Ste 307 San Diego CA 92108-3832 |
| Practice Telephone | 4255597809 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| 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 |
| Street Address |
10400 NE 4TH ST STE 500 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646464 | Tasia Siereveld | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-09 |
| 1811465180 | Gina Marie Johnson | Naturopath | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-11-05 |
| 1790285476 | Sonya Statezni | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-02-19 |
| 1861992539 | Cheyenne Carter | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-02-19 |
| 1639687775 | William Shull | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-10 |
| 1730697871 | Troy Reister | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-10 |
| 1073020285 | Jacob Voyles | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-09 |
| 1720595945 | Jessica Johnson | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-09 |
| 1316454515 | Cassandra Morrison | Behavior Technician | 10400 Ne 4th St Ste 500, Bellevue, WA 98004-5175 | 2018-01-09 |
| 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 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1780299107 | Leo Anthony Perucca | Behavior Technician | 12826 Se 40th Ln Ste A10, Bellevue, WA 98006-5266 | 2020-09-11 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1083250096 | Andrew Zemanek | Behavior Technician | 12729 Northup Way Ste 102, Bellevue, WA 98005-1935 | 2019-11-25 |
| 1043865975 | Aaron Struss | Behavior Technician | 2018 156th Ave Ne Ste 100, Bellevue, WA 98007-3825 | 2019-08-07 |
| 1619521473 | Isatou Daffeh | Behavior Technician | 13333 Ne Bel Red Rd Ste Unit, Bellevue, WA 98005-2332 | 2019-07-30 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1821568239 | Logan G Carter | Behavior Technician | 15315 Se 25th St, Bellevue, WA 98007-6501 | 2018-11-28 |
| 1902399553 | Maria Guadalupe Ojeda Rosas | Behavior Technician | 4935 Aspen Dr, Bellevue, NE 68157-2241 | 2018-06-08 |
| Find all providers in BELLEVUE | ||||
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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.