DANIELLE DOMINIQUE FASTABEND (NPI# 1659924363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659924363 |
| Entity Type | Individual |
| Full Name | DANIELLE DOMINIQUE FASTABEND |
| Credential | CBT |
| Practice Address |
9414 Ne Fourth Plain Blvd Vancouver WA 98662-6109 |
| Mailing Address |
2408 Se Grace Ave Battle Ground WA 98604-8634 |
| Practice Telephone | 3608925142 |
| Mailing Telephone | 3605539917 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | CB0974695 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9414 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122897 | Melissa Braskett | Speech-Language Pathologist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2018-01-28 |
| 1285266957 | Mary Ann Wagner | Occupational Therapist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2020-02-10 |
| 1275172066 | Marley Carla King | Occupational Therapist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2019-12-27 |
| 1548802515 | Dustin Lee Walls | Speech-Language Pathologist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2019-10-11 |
| 1710535190 | Mary Claire Sroka | Occupational Therapist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2019-08-29 |
| 1447803895 | Zoe Thompson | Behavior Technician | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2019-07-24 |
| 1245735141 | Megan Alexander | Occupational Therapist | 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 | 2018-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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 |
|---|---|---|---|---|
| 1285240143 | Shelly Nichole Stafford | Behavior Technician | 6609 Ne 54th Ct, Vancouver, WA 98661-1580 | 2020-09-16 |
| 1225655368 | Zach Lobetos | Behavior Technician | 11800 Ne 124th Ave Unit D45, Vancouver, WA 98682-1603 | 2020-07-05 |
| 1831716190 | Tara Kristen Ortega | Behavior Technician | 11800 Ne 124th Ave Apt D45, Vancouver, WA 98682-1603 | 2020-07-01 |
| 1457985756 | Anna Snodgrass | Behavior Technician | 4101 Se 192nd Ave, Vancouver, WA 98683-1471 | 2020-02-25 |
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1477191526 | Angela Theresa Sciacca | Behavior Technician | 2305 E 13th St Apt U, Vancouver, WA 98661-4187 | 2019-12-18 |
| 1932747276 | Lauren Burt | Behavior Technician | 915 Broadway St # 115, Vancouver, WA 98660-3278 | 2019-12-17 |
| 1780239178 | Tyler Jonathon Macrae-smith | Behavior Technician | 15605 Ne 5th St, Vancouver, WA 98684-3375 | 2019-08-03 |
| 1346802253 | Jacob Anderson | Behavior Technician | 1905 Daniels St Apt 10, Vancouver, WA 98660-2500 | 2019-07-01 |
| Find all providers in VANCOUVER | ||||
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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.