RAVEN PORTER (NPI# 1366910549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366910549 |
| Entity Type | Individual |
| Full Name | RAVEN PORTER |
| Practice Address |
2747 76th Ave Oakland CA 94605-2809 |
| Practice Telephone | 5106920084 |
| Mailing Telephone | 5106920084 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | F7939451 | 05 |
| Street Address |
2747 76TH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| 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 |
|---|---|---|---|---|
| 1932707254 | Sarah Feng | Behavioral Analyst | 1127 Wellington St, Oakland, CA 94602-1342 | 2020-10-09 |
| 1881205110 | The Autism Impact Circle | Behavioral Analyst | 9015 Sage Rd, Oakland, CA 94605-4603 | 2020-08-11 |
| 1912517533 | Kimberly Joan Krafft | Behavioral Analyst | 9 Princeton Ter, Oakland, NJ 07436-3507 | 2020-08-07 |
| 1437769866 | Olivia Hartos | Behavioral Analyst | 43 Nokomis Ave, Oakland, NJ 07436-2119 | 2020-07-31 |
| 1396371456 | Zhivka Stoilova Vasileva-winbush | Behavioral Analyst | 160 Franklin St, Oakland, CA 94607-3713 | 2020-03-19 |
| 1255966305 | Janis Marie Peterson | Behavioral Analyst | 6317 Majestic Ave Apt 3, Oakland, CA 94605-1877 | 2020-03-10 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1629615307 | Autumn M Lai | Behavioral Analyst | 1950 21st Ave, Oakland, CA 94606-4663 | 2019-12-02 |
| 1558907295 | Nancy Gates | Behavioral Analyst | 617 La Prenda Dr, Oakland, CA 94603-3542 | 2019-11-18 |
| 1841831518 | Stephanie Lizette Baez-aguilar | Behavioral Analyst | 1222 88th Ave, Oakland, CA 94621-1116 | 2019-10-03 |
| Find all providers in OAKLAND | ||||
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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.