PEGGY REYNOSO (NPI# 1639678345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639678345 |
| Entity Type | Individual |
| Full Name | PEGGY REYNOSO |
| Practice Address |
185 Ne Snohomish Ave Unit 724 White Salmon WA 98672-0160 |
| Mailing Address |
Po Box 724 White Salmon WA 98672-0724 |
| Practice Telephone | 5093966592 |
| Mailing Telephone | 5093966592 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CB60825810 | WA | Behavioral Health & Social Service Providers |
| Street Address |
185 NE SNOHOMISH AVE UNIT 724 |
| City | WHITE SALMON |
| State | WA |
| Zip Code | 98672-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003206566 | Nicholas Santillano | Behavioral Analyst | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672 | 2015-02-04 |
| 1467019760 | Kali Dominguez | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2019-05-22 |
| 1659858595 | Cheryl Reetz | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-07-24 |
| 1548757032 | Kaitlyn Parker-lee | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-04-19 |
| 1952802654 | Mikkaela D Ruise | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-02-27 |
| 1154835841 | Columbia River Gorge Behavior Services, LLC | Behavioral Analyst | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2017-11-17 |
| 1154871002 | Kaitlin Spencer | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570797 | Anna Coughlin | Lactation Consultant, Non-RN | 492 Se Wyers St, White Salmon, WA 98672 | 2020-05-21 |
| 1649541020 | Providence Health & Services Oregon | Clinic/Center | 211 Ne Skyline Dr, White Salmon, WA 98672 | 2012-01-18 |
| 1356645576 | Paul Grim | Counselor | 70 North Estes, White Salmon, WA 98672 | 2011-01-03 |
| 1154623734 | Debra Ann Short | Nurse Practitioner | 181 W. Jewett Blvd, White Salmon, WA 98672 | 2010-12-02 |
| 1366742827 | Eileen L Rock | Mechanotherapist | 145 E Jewett Blvd, Suite #301, White Salmon, WA 98672 | 2010-10-29 |
| 1437389160 | W. Curtis Mathisen D.d.s. | Dentist | 640 N. Main St., White Salmon, WA 98672 | 2009-07-15 |
| 1477702207 | Jeniffer Lee Panko | Specialist | 100 Amour Ct, White Salmon, WA 98672 | 2008-09-17 |
| 1871741447 | Barbara Ann Quinlan | Speech-Language Pathologist | 195 Cherry St., White Salmon, WA 98672 | 2008-09-08 |
| 1548427206 | Aaron A Edwards | Counselor | 432 Ne Tohomish Street, White Salmon, WA 98672 | 2008-05-20 |
| 1699941369 | Ticia Ann Blanck | Psychologist | #70 Estes Ave., White Salmon, WA 98672 | 2008-05-02 |
| Find all providers in zip 98672 | ||||
| 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 |
|---|---|---|---|---|
| 1467019760 | Kali Dominguez | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2019-05-22 |
| 1659858595 | Cheryl Reetz | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-07-24 |
| 1548757032 | Kaitlyn Parker-lee | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-04-19 |
| 1952802654 | Mikkaela D Ruise | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672-0160 | 2018-02-27 |
| 1154871002 | Kaitlin Spencer | Behavior Technician | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234815 | Elizabeth Swanson | Behavior Technician | 1225 Commerce Ave Apt 206, Longview, WA 98632-3042 | 2020-11-01 |
| 1255930830 | Carlyann M Reinmuth | Behavior Technician | 404a 120th St S, Tacoma, WA 98444-5214 | 2020-10-23 |
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1316546542 | Brittnie Nichole Jensen | Behavior Technician | 821 126th Street Ct E, Tacoma, WA 98445-2916 | 2020-10-19 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1720686975 | Katherine E Stark | Behavior Technician | 4173 Greenfish Dr Apt C, Silverdale, WA 98315-9474 | 2020-10-10 |
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1508473703 | Katie Lee Mccann | Behavior Technician | 631 Strander Blvd Ste F, Tukwila, WA 98188-2963 | 2020-09-30 |
| 1407463870 | Andrea F Serrano | Behavior Technician | 7317 S Wilkeson St, Tacoma, WA 98408-1222 | 2020-09-29 |
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE SALMON |
| Zip Code | 98672 |
Please comment or provide details below to improve the information on PEGGY REYNOSO.
| 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.