KEVIN BREZLER (NPI# 1467078683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467078683 |
| Entity Type | Individual |
| Full Name | KEVIN BREZLER |
| Practice Address |
9911 Se Mount Scott Blvd Portland OR 97266-6302 |
| Mailing Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Practice Telephone | 5032584200 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
9911 SE MOUNT SCOTT BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693295 | Sharon Dixie Mcconnell | Registered Nurse | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2006-01-16 |
| 1699395061 | Madison Baker | Student in an Organized Health Care Education/Training Program | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1134749500 | Rebecca Mae Williams | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1194365056 | Victoria Gettel | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-08 |
| 1285273623 | Nelyda Saxton | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-02 |
| 1285279455 | Kyle Adelaide White | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-11-12 |
| 1225671837 | Justin Anthony Ingleton X | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-26 |
| 1972146389 | Jessica Romero-garcia | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-18 |
| 1568010379 | Paige Craine | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-08-27 |
| 1215480827 | Andrea Frances Holt | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2016-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1023626470 | Emma Jayme Jordan | Assistant Behavior Analyst | 4730 Se Belmont St Unit 2, Portland, OR 97215-1737 | 2020-07-21 |
| 1316582612 | Emily Mishler | Assistant Behavior Analyst | 1809 Sw 11th Ave Apt 113, Portland, OR 97201-3268 | 2019-11-10 |
| 1003440009 | Elise Gilmore | Assistant Behavior Analyst | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-02-27 |
| 1144783853 | Pitchayatorn Sarasmut | Assistant Behavior Analyst | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-04-09 |
| 1902373855 | Alexandra Lillian Ecker | Assistant Behavior Analyst | 527 Ocean Ave # 19, Portland, ME 04103-4972 | 2018-10-30 |
| 1386150241 | Nicole Williford | Assistant Behavior Analyst | 121 Sw Salmon St Fl 11, Portland, OR 97204-2908 | 2017-12-14 |
| 1154868396 | Gabriela Gonzalez | Assistant Behavior Analyst | 3415 Se Powell Blvd, Parry Center/waverly, Portland, OR 97202 | 2017-01-26 |
| 1700329695 | Jonathan Mcqueen | Assistant Behavior Analyst | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-11-23 |
| 1205378478 | Brenna Johnson | Assistant Behavior Analyst | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1376028753 | Chyvaila Anne Tachell | Assistant Behavior Analyst | 329 Fossholm St Ne Apt A1, Silverton, OR 97381-1556 | 2018-10-01 |
| 1003392069 | Alexandra Jeanel Cabading Pardico | Assistant Behavior Analyst | 2985 Ne Moda Way Apt 333, Hillsboro, OR 97124-7019 | 2018-07-12 |
| 1649719345 | Venessa Brewton | Assistant Behavior Analyst | 8372 Enchanted Way, Turner, OR 97392 | 2017-02-15 |
| 1154962041 | Amanda R Macpherson | Assistant Behavior Analyst | 1369 N Pacific Hwy # 1369, Woodburn, OR 97071-3617 | 2019-10-02 |
| 1376184374 | Kiel Rotarius | Assistant Behavior Analyst | 5121 Ne Elam Young Pkwy Ste A, Hillsboro, OR 97124-8295 | 2019-10-01 |
| 1902447907 | Janean Jarvis | Assistant Behavior Analyst | 5121 Ne Elam Young Pkwy Ste A, Hillsboro, OR 97124-8295 | 2019-10-01 |
| 1710536271 | Caroline Hasbrook | Assistant Behavior Analyst | 1790 W 11th Ave, Eugene, OR 97402-3758 | 2019-09-08 |
| 1871140780 | Yasmine Nariah Jameson-mcdole | Assistant Behavior Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-08-25 |
| 1427619980 | Danielle Elizabeth Cotten | Assistant Behavior Analyst | 134 E 13th Ave, Eugene, OR 97401-3587 | 2019-06-25 |
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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.