JACOB TIMOTHY SPITZACK (NPI# 1508334491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508334491 |
| Entity Type | Individual |
| Full Name | JACOB TIMOTHY SPITZACK |
| Practice Address |
360 S Garden Way Ste 250 Eugene OR 97401-8175 |
| Mailing Address |
460 E 14th Ave Apt 11 Eugene OR 97401-8223 |
| Practice Telephone | 5417261465 |
| Mailing Telephone | 6514032514 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 10195019 | OR | Behavioral Health & Social Service Providers |
| Street Address |
360 S GARDEN WAY STE 250 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187358 | Tensegrity Physical Therapy | Physical Therapist | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2006-01-05 |
| 1457951964 | Maggie Dale Van Wey-wells | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-10-26 |
| 1386241495 | Sierra Ann Bayer | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-10-02 |
| 1467068932 | Annelise Ellis Craven | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-09-21 |
| 1790398832 | Kendall Fox | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-08-28 |
| 1932719879 | Audrey Sherman | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-08-05 |
| 1942818216 | Lisa Darya Shostak | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-07-22 |
| 1962010066 | Sean V Williams | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-07-15 |
| 1144838376 | Alexia Tina M Murphy | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-07-14 |
| 1235763756 | Josephine Marshall Beebe | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578105748 | Acacia J Alexy | Behavioral Analyst | 1142 Willagillespie Rd Ste 1800, Eugene, OR 97401-2142 | 2019-10-09 |
| 1265900575 | Rosina Marie Zbaracki | Behavioral Analyst | 134 E 13th Ave Unit 303, Eugene, OR 97401-3587 | 2018-11-05 |
| 1700372026 | Christine Drew | Behavioral Analyst | 84 W 19th Aly, Eugene, OR 97405-2897 | 2018-07-10 |
| 1790271963 | Kim M Montgomery | Behavioral Analyst | 134 E 13th Ave Ste 2, Eugene, OR 97401-3572 | 2018-07-10 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1407358393 | Makaela Shea Vinson | Behavioral Analyst | 90 Commons Dr Apt 109, Eugene, OR 97401-8918 | 2018-03-06 |
| 1205336633 | Tasia Lorissa Brafford | Behavioral Analyst | 1727 Columbia St, Eugene, OR 97403-1904 | 2018-02-12 |
| 1538667597 | Connor R Mccroskey | Behavioral Analyst | 960 E 19th Ave Apt 105, Eugene, OR 97403-1498 | 2018-01-24 |
| 1336671940 | Kandace Ellen-marie Little | Behavioral Analyst | 72 W Broadway Ste 214, Eugene, OR 97401 | 2017-04-02 |
| 1043663057 | Hannah Barton | Behavioral Analyst | 2250 Patterson St Unit 264, Eugene, OR 97405-2992 | 2016-07-14 |
| Find all providers in EUGENE | ||||
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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.