BETHANY ANDERSON (NPI# 1659863298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659863298 |
| Entity Type | Individual |
| Full Name | BETHANY ANDERSON |
| Practice Address |
2565 Alluvial Ave Ste 152 Clovis CA 93611 |
| Mailing Address |
2565 Alluvial Ave Ste 152 Clovis CA 93611-9514 |
| Practice Telephone | 5593489225 |
| Mailing Telephone | 5593489225 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389848 | Bethany Lee Anderson | Student in an Organized Health Care Education/Training Program | 3711 N Valley Dr, Wisconsin Rapids, WI 54494-8035 | 2018-03-15 |
| 1811418130 | Bethany Ann Anderson | Nurse Practitioner | 1111 Glynco Pkwy Ste 10, Brunswick, GA 31525-7930 | 2017-06-28 |
| 1457704892 | Bethany Anderson | Speech-Language Pathologist | 3201 2nd St, Fayetteville, AR 72704-5273 | 2016-07-21 |
| 1093273310 | Bethany Marie Anderson | Behavior Technician | 20014 Jewell Rd, Bothell, WA 98012-7317 | 2019-03-05 |
| 1841667714 | Bethany Anderson | Nurse Practitioner | 3377 Us Route 60, Huntington, WV 25705-2837 | 2015-08-27 |
| 1568872166 | Bethany Anderson | Physical Therapist | 9500 Euclid Avenue, C22, Cleveland, OH 44195 | 2014-05-05 |
| 1841583234 | Bethany Laural Anderson | Counselor | 560 S State St, Ste G-1, Orem, UT 84058-6354 | 2011-05-18 |
| 1639461536 | Bethany Anderson | Marriage & Family Therapist | 9431 Coppertop Loop Ne, Suite B, Bainbridge Island, WA 98110-3684 | 2011-05-10 |
| 1134253719 | Bethany P Anderson | Social Worker | Children's Hospital Guidance Center, 899 E. Broad St 3rd Floor, Columbus, OH 43205 | 2007-03-15 |
| 1629001417 | Bethany M. Anderson | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-07-08 |
| Street Address |
2565 ALLUVIAL AVE STE 152 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972094852 | Antonio Berber | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1184107013 | Stephanie-ann Rosemary Obeso | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-09-06 |
| 1992288823 | Ana Gabriela Monzon | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-09-06 |
| 1972083590 | Sabah Naeem | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-14 |
| 1093294332 | Pedro Diaz | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1528547866 | Lorena Aranda | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1467931717 | Lizet Medina Delgado | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-08-08 |
| 1902384266 | Edna Natalie Ramirez-romero | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-30 |
| 1346728615 | Teresa Robles | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-30 |
| 1518444355 | Eddie Reyes | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| 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 |
|---|---|---|---|---|
| 1700498813 | Marjorie Nanell Dacquisto | Behavioral Analyst | 1420 Shaw Ave Ste 105, Clovis, CA 93611-4072 | 2020-08-19 |
| 1225501299 | Miguel Angel Vieyra | Behavioral Analyst | 2627 Ashlan Ave Apt 102, Clovis, CA 93611-3972 | 2019-01-02 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| 1467603662 | Michael Keith Moseley | Behavioral Analyst | 73 N Willow Ave, Clovis, CA 93612-0154 | 2008-10-06 |
| 1942808613 | Alexis Breanna Zepeda | Behavioral Analyst | 1420 Shaw Ave Ste 105, Clovis, CA 93611-4072 | 2020-10-14 |
| 1568096402 | Danielle Cassie Buchan | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2020-03-01 |
| 1013549591 | Shelby Correia Correia | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2020-02-12 |
| 1679123855 | Kimberly Jade Norrid | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2019-09-18 |
| 1861040339 | Marissa Paige Patterson | Behavioral Analyst | 75 Park Creek Dr Ste 104, Clovis, CA 93611-4432 | 2019-08-28 |
| 1407402829 | Bianca Cortez | Behavioral Analyst | 20 N Dewitt Ave, Clovis, CA 93612-0311 | 2019-08-12 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on BETHANY ANDERSON.
| 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.