KELLY STAFFORD (NPI# 1326659186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326659186 |
| Entity Type | Individual |
| Full Name | KELLY STAFFORD |
| Credential | BCBA |
| Practice Address |
6195 N Minnesota Ave Apt 1d Portland OR 97217-4788 |
| Practice Telephone | 9715707599 |
| Mailing Telephone | 9715707599 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437626942 | Kelly J Stafford | Specialist | 1060 W Norton Ave, Muskegon, MI 49441-4175 | 2018-11-01 |
| 1578833521 | Kelly Logan Stafford | Counselor | 357 Towne Center Pl, Suite 402, Ridgeland, MS 39157-4870 | 2012-01-09 |
| 1447558572 | Kelly A Stafford | Occupational Therapist | 171 Madison Ave Fl 5, New York, NY 10016 | 2011-03-15 |
| 1073843512 | Kelly M Stafford | Specialist/Technologist | 631 S College Ave, Newark, DE 19716-2010 | 2010-01-06 |
| 1184626806 | Kelly L. Stafford | Physician Assistant | 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 | 2005-08-12 |
| Street Address |
6195 N MINNESOTA AVE APT 1D |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| 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 |
| 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 |
| 1033678685 | Samantha Joelle Sposito | Behavioral Analyst | 6707 N Van Houten Ave, Portland, OR 97203-5243 | 2019-03-13 |
| 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.