KRISTAN KELLY MCMILLAN (NPI# 1437629961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437629961 |
| Entity Type | Individual |
| Full Name | KRISTAN KELLY MCMILLAN |
| Practice Address |
4014 52nd St Ne Tacoma WA 98422-1980 |
| Mailing Address |
19916 Se 25th Pl Sammamish WA 98075-9663 |
| Practice Telephone | 2066184673 |
| Mailing Telephone | 4256060238 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| 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 |
4014 52ND ST NE |
| City | TACOMA |
| State | WA |
| Zip Code | 98422-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681350 | Andrew N Vlahovich | Behavior Technician | 4014 52nd St Ne, Tacoma, WA 98422-1980 | 2020-05-27 |
| 1194283697 | Ramzani Paul Bresnahan | Behavior Technician | 4014 52nd St Ne, Tacoma, WA 98422-1980 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650700 | Kristen Michelle O'leary | Student in an Organized Health Care Education/Training Program | 6720 Eastside Drive Ne, Suite 2, Tacoma, WA 98422 | 2017-03-15 |
| 1386989853 | Lori Shelmadine | Occupational Therapist | 5421 21st Ave Ct Ne, Tacoma, WA 98422 | 2012-12-10 |
| 1174787949 | Antonio Marcus Anderson | Pharmacist | 5514 24th Ave Ne, Tacoma, WA 98422 | 2008-07-11 |
| 1407956659 | Scott Barry Finlayson | Massage Therapist | 6720 Eastside Dr Ne, Suite 2, Tacoma, WA 98422 | 2006-09-25 |
| 1669574703 | Leonard Ernest Loflin | Dentist | 4811 Wa Tau Ga Ne, Tacoma, WA 98422 | 2006-09-01 |
| 1114910775 | Daisy Sarama Zachariah | Legal Medicine | 6105 Panorama Dr Ne, Tacoma, WA 98422 | 2005-08-29 |
| 1144312729 | Diana King | Family Medicine | 4215 49th Ave Ne, Tacoma, WA 98422 | 2006-09-29 |
| 1528254547 | Janet E Massey | Physical Therapist | 1422 Beach Dr Ne, Suite 3, Tacoma, WA 98422-1005 | 2007-09-24 |
| 1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
| 1649441031 | The Nw Massage Center, LLC | Massage Therapist | 6716 E Side Dr Ne, Tacoma, WA 98422-1147 | 2008-03-13 |
| Find all providers in zip 98422 | ||||
| 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 |
|---|---|---|---|---|
| 1255930830 | Carlyann M Reinmuth | Behavior Technician | 404a 120th St S, Tacoma, WA 98444-5214 | 2020-10-23 |
| 1316546542 | Brittnie Nichole Jensen | Behavior Technician | 821 126th Street Ct E, Tacoma, WA 98445-2916 | 2020-10-19 |
| 1407463870 | Andrea F Serrano | Behavior Technician | 7317 S Wilkeson St, Tacoma, WA 98408-1222 | 2020-09-29 |
| 1518577477 | Britteny Bates | Behavior Technician | 915 142nd St S, Tacoma, WA 98444-3321 | 2020-08-05 |
| 1114548740 | Cassandra Jones Morgan | Behavior Technician | 7808 Pacific Ave Unit 9, Tacoma, WA 98408-7039 | 2020-05-05 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1982237434 | Javier Silva | Behavior Technician | 15021 24th Ave E, Tacoma, WA 98445-3482 | 2020-02-12 |
| 1487286878 | Elizabeth Stryker | Behavior Technician | 1901 S Union Ave # 6007, Tacoma, WA 98405-1702 | 2020-02-04 |
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1013555267 | Nicole Daisy Bozlee | Behavior Technician | 1901 S Union Ave Ste 6700, Tacoma, WA 98405-1702 | 2019-12-18 |
| Find all providers in TACOMA | ||||
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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.