SEVERIN NIKLAUS BURRI (NPI# 1649839440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649839440 |
| Entity Type | Individual |
| Full Name | SEVERIN NIKLAUS BURRI |
| Practice Address |
402 Nw F St Grants Pass OR 97526-1947 |
| Mailing Address |
201 W Main St Ste 4b Medford OR 97501-2734 |
| Practice Telephone | 5414792966 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
402 NW F ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902246549 | Laura Frances Mcgarry | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2013-06-27 |
| 1497377451 | Aspen Kay Lindsey | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2020-05-13 |
| 1538793054 | Amber Marie Martinez | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2020-02-24 |
| 1669003257 | Denise Anne Rohan | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2020-01-31 |
| 1134766751 | Haley Mae Vicari | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-12-02 |
| 1326684366 | Carol Lynn Poole | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-11-25 |
| 1083250153 | Shanel Mahr | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-11-22 |
| 1548821093 | Jennifer Lee Vancil | Behavior Technician | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-06-25 |
| 1063071132 | Monica Ann Cazares | Behavior Technician | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-06-11 |
| 1144887233 | Shona Tess Harris | Counselor | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1417454471 | Kimberly Ann Griggs | Behavior Technician | 1750 Nebraska Ave Ste B, Grants Pass, OR 97527-5700 | 2018-04-06 |
| 1891333563 | Amy Merlee Carter | Behavior Technician | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-12-12 |
| 1518517556 | Britni Nichole Hughes | Behavior Technician | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-09-11 |
| 1548821093 | Jennifer Lee Vancil | Behavior Technician | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-06-25 |
| 1063071132 | Monica Ann Cazares | Behavior Technician | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-06-11 |
| 1861057093 | Monica Brown | Behavior Technician | 322 Nw F St, Grants Pass, OR 97526-2052 | 2019-05-02 |
| 1669035580 | Emma Elizabeth Buckley | Behavior Technician | 402 Nw F St, Grants Pass, OR 97526-1947 | 2019-04-16 |
| 1093211203 | Amber Inez Kremer | Behavior Technician | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2018-04-05 |
| 1184123903 | Rebecca Gene Serra | Behavior Technician | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2018-02-07 |
| 1407363617 | Courtney Munson | Behavior Technician | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2018-01-09 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.