JUSTIN NOONAN (NPI# 1326658345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326658345 |
| Entity Type | Individual |
| Full Name | JUSTIN NOONAN |
| Practice Address |
3680 S Cedar St Ste A Tacoma WA 98409-5728 |
| Mailing Address |
907 S 9th St Apt A Tacoma WA 98405-4598 |
| Practice Telephone | 2063138840 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 111524501 | 05 |
| Street Address |
3680 S CEDAR ST STE A |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992055479 | Michael Joseph Crear | Behavioral Analyst | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2012-09-12 |
| 1760081020 | Margaret E Graham | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-10-19 |
| 1255960480 | Rebecca Onderdonk | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-04-08 |
| 1932738572 | Nicole Michaud | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-04-06 |
| 1093342495 | Alicia Colon | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-03-25 |
| 1689201311 | Kailah Bush-johnson | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-03-24 |
| 1508492711 | Susan Marie Hodges | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-03-19 |
| 1609402288 | Sierra Rose Itara | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-03-16 |
| 1700417938 | Gabrielle Ann Ogan Son | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-01-27 |
| 1235779786 | Rachel Ann Kunst | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2020-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
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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 |
|---|---|---|---|---|
| 1932719499 | Michael Mcmullen | Behavioral Analyst | 903 144th Street Ct S, Tacoma, WA 98444-3337 | 2020-08-08 |
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1649733718 | Michelle Munden | Behavioral Analyst | 1319 E 68th St, Tacoma, WA 98404-3420 | 2019-04-07 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1184131773 | Carissa Powell | Behavioral Analyst | 212 N G St, Tacoma, WA 98403-3414 | 2018-01-04 |
| 1073020764 | Nicole Analise Climer | Behavioral Analyst | 3704 N 35th St, Tacoma, WA 98407-6033 | 2018-01-04 |
| 1477069003 | Lindsey Downie | Behavioral Analyst | 3011 S 15th St, Tacoma, WA 98405-2416 | 2017-12-19 |
| 1528598349 | Kelsey Breuker | Behavioral Analyst | 1901 S Union Ave Ste 6007, Tacoma, WA 98405-1702 | 2017-06-14 |
| 1437600293 | Annette Bearden | Behavioral Analyst | 5311 S Pine St, Tacoma, WA 98409-6346 | 2016-10-17 |
| 1316497183 | Jessica Norris | Behavioral Analyst | 3680 S Cedar St, Suite A, Tacoma, WA 98409-5728 | 2016-10-05 |
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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.