WYNDHAM MARIE NOEL CONWAY (NPI# 1275009078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275009078 |
| Entity Type | Individual |
| Full Name | WYNDHAM MARIE NOEL CONWAY |
| Practice Address |
727 Se Cass Ave Ste 400 Roseburg OR 97470-4955 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8183452345 |
| Mailing Telephone | 8183452345 |
| Mailing Fax Number | 0000000000 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 | 8183452345 |
| Street Address |
727 SE CASS AVE STE 400 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257400 | Damian Michael Webber | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-04-18 |
| 1801356050 | Samantha Marie Foster-pratt | Behavior Technician | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-03-22 |
| 1023577889 | Johnny Angel Garcia | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-03-19 |
| 1114495066 | Conner Tabor | Behavior Technician | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1073174553 | Laurina Parry Lacey | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-06-25 |
| 1871138883 | Tyler Kathleen Minnis | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-11-13 |
| 1669022968 | Samantha Mcgraw | Behavioral Analyst | 621 W Madrone St, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1750933347 | Daricca Michele Kelly | Behavioral Analyst | 940 Nw Garden Valley Blvd Ste 104, Roseburg, OR 97471-2098 | 2019-07-12 |
| 1881257400 | Damian Michael Webber | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-04-18 |
| 1023577889 | Johnny Angel Garcia | Behavioral Analyst | 727 Se Cass Ave Ste 400, Roseburg, OR 97470-4955 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950156 | Jabbo Dire | Behavioral Analyst | 331 Lone Oaks Loop, Silverton, OR 97381-1470 | 2020-10-22 |
| 1295334043 | Callista Perez | Behavioral Analyst | 2020 Ne Linnea Dr Apt 309, Bend, OR 97701-4975 | 2020-10-22 |
| 1295334118 | Moriah J Spendolini | Behavioral Analyst | 3709 Citation Way, Medford, OR 97504-9022 | 2020-10-21 |
| 1376158055 | Compassionate Therapy for Autism, LLC | Behavioral Analyst | 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 | 2020-09-10 |
| 1588276364 | Climb Behavioral Solutions, LLC | Behavioral Analyst | 809b Se Sherman St, Portland, OR 97214-4666 | 2020-08-21 |
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
| 1235753138 | Or Mc Sprout 1 LLC | Behavioral Analyst | 700 Sw 5th Ave, Portland, OR 97204-2000 | 2020-06-05 |
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1780210583 | Cecilia Ramirez Espinoza | Behavioral Analyst | 107 N Trade St Apt A, Amity, OR 97101-2827 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
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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.