BREANNA M SANDEFUR (NPI# 1427573146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427573146 |
| Entity Type | Individual |
| Full Name | BREANNA M SANDEFUR |
| Credential | RBT |
| Practice Address |
15290 Sw Royalty Pkwy Tigard OR 97224 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9712564050 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-96158 | OR | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uw Autism Ctr 1701 Ne Columbia Rd, Seattle, WA 981950001 | 2066188642 | 2065987815 |
| Street Address |
15290 SW ROYALTY PKWY |
| City | TIGARD |
| State | OR |
| Zip Code | 97224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638091 | Nadia Bertram | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-10-29 |
| 1699385229 | Taylor Matthew Cowman | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-08-07 |
| 1942828710 | Allison Carter | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-07-08 |
| 1760012983 | Sophia Daphne Tsanotelis | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-01-16 |
| 1306485784 | Melody Rose Jones | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-01-02 |
| 1053956417 | Trent Joseph Oetken Bross | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2019-11-08 |
| 1336798883 | Kimberly Suzanne Jolley | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2019-09-07 |
| 1033763669 | Ben Froeschle | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2019-07-31 |
| 1740832369 | Kira Sandhu | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2019-07-13 |
| 1740744267 | Blake Buchanan-munro | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1659720050 | Jesseka Jean Collins I | Specialist | 14741 Sw 109th Avenue Apt 3, Tigard, OR 97224 | 2016-06-07 |
| Find all providers in zip 97224 | ||||
| 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 |
|---|---|---|---|---|
| 1679104764 | Abigail Grace Towslee | Behavior Technician | 15290 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-4059 | 2020-01-28 |
| 1639712128 | Samantha Florence Boggini | Behavior Technician | 15642 Sw Barrington Ter, Tigard, OR 97224-1989 | 2019-10-28 |
| 1801368451 | Jeffrey Alan Dunkerley II | Behavior Technician | 15298 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-3904 | 2018-12-20 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1124528757 | Candace Ayana Coleman-davis | Behavior Technician | 15688 Sw Bristlecone Way, Tigard, OR 97223-2689 | 2018-02-20 |
| 1477004273 | Austen Wuellner | Behavior Technician | 8364 Sw Pfaffle St, Apt.109, Tigard, OR 97223-8480 | 2016-10-18 |
| 1225638091 | Nadia Bertram | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-10-29 |
| 1699385229 | Taylor Matthew Cowman | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-08-07 |
| 1942828710 | Allison Carter | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224-4059 | 2020-07-08 |
| 1942834940 | Cynthia Neira | Behavior Technician | 15290 Sw Royalty Pkwy Ste 300, Tigard, OR 97224-4059 | 2020-02-27 |
| Find all providers in TIGARD | ||||
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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.