TEAIRRA BENJAMIN (NPI# 1316415235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316415235 |
| Entity Type | Individual |
| Full Name | TEAIRRA BENJAMIN |
| Practice Address |
9115 Sw Olsen Rd Ste 100 Portland OR 97223-6876 |
| Mailing Address |
10339 Ne Prescott St Apt 304 Portland OR 97220-3476 |
| Practice Telephone | 5108826990 |
| Mailing Telephone | 9712227195 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| 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 |
9115 SW OLSEN RD STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-6876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919682 | Pedro Cepeda | Behavior Technician | 9115 Sw Olsen Rd Ste 100, Portland, OR 97223-6876 | 2020-07-08 |
| 1750939211 | Kathleen Marie Mckinney | Behavior Technician | 9115 Sw Olsen Rd Ste 100, Portland, OR 97223-6876 | 2019-08-28 |
| 1144783556 | Jayleen June Sisk | Behavior Technician | 9115 Sw Olsen Rd Ste 100, Portland, OR 97223-6876 | 2019-04-11 |
| 1356809180 | Natalia Elizabeth Mendez | Behavioral Analyst | 9115 Sw Olsen Rd Ste 100, Portland, OR 97223-6876 | 2019-03-11 |
| 1720551526 | Jessica Jewel Prange | Behavioral Analyst | 9115 Sw Olsen Rd Ste 100, Portland, OR 97223-6876 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
| 1134781776 | Sarah Anthony-hilgert | Behavioral Analyst | 7140 Sw Fir Loop Ste 105, Portland, OR 97223-8062 | 2019-07-03 |
| 1316506868 | Adi Einstein | Behavioral Analyst | 2234 Ne 44th Ave, Portland, OR 97213-1340 | 2019-06-09 |
| 1780248849 | Behavioral Learning Network - Oregon LLC | Behavioral Analyst | 1827 Ne 44th Ave Ste 390, Portland, OR 97213-1461 | 2019-04-24 |
| Find all providers in PORTLAND | ||||
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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.