MRS. DENISE CONNELLY (NPI# 1508333261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508333261 |
| Entity Type | Individual |
| Full Name | MRS. DENISE CONNELLY |
| Practice Address |
2600 Sw Holden St Seattle WA 98126-3505 |
| Practice Telephone | 2609337060 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316219678 | Denise Connelly | Registered Nurse | 14 Bellemeade Ave, Smithtown, NY 11787-1857 | 2012-02-02 |
| 1801045992 | Denise Marie Connelly | Counselor | 5301 Buckeystown Pike, Suite170, Frederick, MD 21704-8370 | 2008-09-12 |
| 1447418710 | Denise Connelly | Licensed Practical Nurse | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-1047 | 2008-05-23 |
| 1679541254 | Denise S Connelly | Physical Therapy Assistant | 1000 E Washington St, Medina, OH 44256-2170 | 2006-03-09 |
| Street Address |
2600 SW HOLDEN ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728105 | Navos | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2005-05-23 |
| 1285234823 | Cardett E Geohagen | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-30 |
| 1245838192 | Victoria Chambers | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-13 |
| 1093313876 | Baylee Elizabeth Bortz | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-13 |
| 1821605668 | Ciera Coyan | Student in an Organized Health Care Education/Training Program | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-25 |
| 1609482736 | Jude Walker | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-23 |
| 1316553555 | Blake Aubery Phillips | Technician, Pathology | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-22 |
| 1962018192 | Sean Ambrose | Student in an Organized Health Care Education/Training Program | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-22 |
| 1285249060 | Michael Anthony Trujillo | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-09 |
| 1013521251 | Joyce Kristine Aquino | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
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| 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 |
|---|---|---|---|---|
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| 1679189807 | Mitchell Duncan Wolfe | Behavior Technician | 5261 18th Ave Ne, Seattle, WA 98105-3409 | 2020-09-22 |
| 1568074649 | Shiqi Yu | Behavior Technician | 8034 Beacon Ave S, Seattle, WA 98118-4322 | 2020-08-19 |
| 1639787682 | Christine Haensli | Behavior Technician | 4847 California Ave Sw, Seattle, WA 98116-4474 | 2020-07-15 |
| 1881202059 | Austin Reid Heilman | Behavior Technician | 507 Ne Northgate Way Apt 239, Seattle, WA 98125-6190 | 2020-07-14 |
| 1154949618 | Ashante Samuels | Behavior Technician | 2847 Sw Nevada St, Seattle, WA 98126-2537 | 2020-07-10 |
| 1346863644 | Sam J Regali | Behavior Technician | 2104 Ne 45th St, Seattle, WA 98105-3338 | 2020-05-20 |
| 1093340432 | Jeffrey Samuel Rindskopf | Behavior Technician | 5623 Rainier Ave S, Seattle, WA 98118-2442 | 2020-03-05 |
| 1871125922 | Lucy Elizabeth Brezynski | Behavior Technician | 1822 E Jefferson St, Seattle, WA 98122-5744 | 2020-02-06 |
| 1467082073 | Savannah Magness | Behavior Technician | 228 11th Ave E Apt 102, Seattle, WA 98102-6405 | 2020-01-22 |
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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.