HEAVEN FARRELL


Address: 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598
Phone: 8558326727

HEAVEN FARRELL (NPI# 1376098012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376098012
Entity Type Individual
Full Name HEAVEN FARRELL
Credential BCBA
Practice Address 1100 Dexter Ave N Ste 100
Seattle
WA 98109-3598
Mailing Address 7108 S Kanner Hwy
Stuart
FL 34997-7462
Practice Telephone 8558326727
Mailing Telephone 8558326727
Enumeration Date 2016-08-23
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247000000X Technician, Health Information Technologists, Technicians & Other Technical Service Providers
Y 103K00000X Behavioral Analyst 11833913 WA Behavioral Health & Social Service Providers

Office Location

Street Address 1100 DEXTER AVE N STE 100
City SEATTLE
State WA
Zip Code 98109-3598

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063802502 Morgan Elizabeth Korte Behavioral Analyst 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2015-02-04
1518596881 Rodney Richardson Jr. Technician, Other 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2020-04-07
1386204188 Madison Walsh Behavior Technician 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2019-06-14
1013471952 Yuxin Zhou Technician, Other 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2019-01-24
1528532033 Abigail Gehring Behavior Technician 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2019-01-17
1477029957 Mariah De Vos Community/Behavioral Health 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2018-10-22
1902371271 Stephanie Anne Gilbert Technician, Other 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2018-10-12
1336624345 Jeanette Ita Technician, Other 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2018-09-26
1417430281 Elena Marie Conforti Technician, Other 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2018-09-07
1871071126 Wannapa Suprasert Behavioral Analyst 1100 Dexter Ave N Ste 100, Seattle, WA 98109-3598 2018-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710590179 Direct Urgent Care Inc Internal Medicine 220 6th Avenue North, Seattle, WA 98109 2020-08-26
1073147104 Hannah Christine Hoyt Registered Nurse 1354 Aloha St, Seattle, WA 98109 2020-02-27
1508402645 Emily Elizabeth Rock Counselor Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 2019-11-25
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1306316658 Laura Katie Richer Counselor 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 2018-11-29
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003416900 Angelica Yu Behavioral Analyst 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 2020-10-29
1023620606 Marquicia Dominguez Behavioral Analyst 3811a 12th Ave W, Seattle, WA 98119-1307 2020-08-17
1306462379 B.a.n.d.s. Behavioral Analyst 819 Virginia St Unit 1603, Seattle, WA 98101-4425 2020-06-24
1881213429 Wa Mc Sprout 1 LLC Behavioral Analyst 100 S King St Ste 100-1023, Seattle, WA 98104-3844 2020-04-14
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1902442676 Gwendolyn Pinson Behavioral Analyst Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 2019-11-18
1538700109 Hannah Stemple Behavioral Analyst 7016 15th Ave Ne, Seattle, WA 98115-5732 2019-10-03
1255982328 Daniel Zahajko Behavioral Analyst 531 Ne 86th St, Seattle, WA 98115-2930 2019-09-20
1912560459 Allison Chancellor, LLC Behavioral Analyst 1222 E Madison St Apt 419, Seattle, WA 98122-4221 2019-04-19
1487117891 Nirupama Madhavan Behavioral Analyst 5001 25th Ave Ne, Seattle, WA 98105 2019-04-11
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Competitor

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City SEATTLE
Zip Code 98109

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Dataset Information

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.

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