JORDAN K ANDRUS (NPI# 1417592510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417592510 |
| Entity Type | Individual |
| Full Name | JORDAN K ANDRUS |
| Practice Address |
9901 Ne 7th Ave # 116 Vancouver WA 98685-4523 |
| Mailing Address |
11903 Ne 116th St Unit D70 Vancouver WA 98682-2267 |
| Practice Telephone | 3605712432 |
| Mailing Telephone | 3608315356 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
9901 NE 7TH AVE # 116 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98685-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844704 | Taryn Alyssa Brewer | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2018-09-13 |
| 1528683448 | Anna Marie Johnson | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2020-06-16 |
| 1639700347 | Lisa Mcintosh | Behavior Technician | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2020-01-31 |
| 1306486550 | Madeline Josephine Eussen | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2020-01-15 |
| 1932747144 | Allie Wright | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-12-18 |
| 1730720400 | Amanda Galusha | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-10-03 |
| 1417598681 | Zoe Elaine Lamb | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-09-30 |
| 1053968933 | Sontia Christopher | Behavior Technician | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-08-24 |
| 1841844842 | Mason Isaac Leavitt | Behavioral Analyst | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-07-29 |
| 1053963082 | Mckenzie Lynn Milem | Behavior Technician | 9901 Ne 7th Ave # 116, Vancouver, WA 98685-4523 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
| 1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
| 1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
| 1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
| 1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
| 1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
| 1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
| Find all providers in zip 98685 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240143 | Shelly Nichole Stafford | Behavior Technician | 6609 Ne 54th Ct, Vancouver, WA 98661-1580 | 2020-09-16 |
| 1225655368 | Zach Lobetos | Behavior Technician | 11800 Ne 124th Ave Unit D45, Vancouver, WA 98682-1603 | 2020-07-05 |
| 1831716190 | Tara Kristen Ortega | Behavior Technician | 11800 Ne 124th Ave Apt D45, Vancouver, WA 98682-1603 | 2020-07-01 |
| 1457985756 | Anna Snodgrass | Behavior Technician | 4101 Se 192nd Ave, Vancouver, WA 98683-1471 | 2020-02-25 |
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1477191526 | Angela Theresa Sciacca | Behavior Technician | 2305 E 13th St Apt U, Vancouver, WA 98661-4187 | 2019-12-18 |
| 1932747276 | Lauren Burt | Behavior Technician | 915 Broadway St # 115, Vancouver, WA 98660-3278 | 2019-12-17 |
| 1780239178 | Tyler Jonathon Macrae-smith | Behavior Technician | 15605 Ne 5th St, Vancouver, WA 98684-3375 | 2019-08-03 |
| 1346802253 | Jacob Anderson | Behavior Technician | 1905 Daniels St Apt 10, Vancouver, WA 98660-2500 | 2019-07-01 |
| Find all providers in VANCOUVER | ||||
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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.