TRAVIS LEE BOSTON (NPI# 1669021168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669021168 |
| Entity Type | Individual |
| Full Name | TRAVIS LEE BOSTON |
| Practice Address |
5133 123rd Pl Ne Marysville WA 98271-6216 |
| Practice Telephone | 4252201454 |
| Mailing Telephone | 4252201454 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5133 123RD PL NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| 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 |
|---|---|---|---|---|
| 1316546997 | Chloe Ann York Custer | Behavior Technician | 1820 River Run Dr, Marysville, CA 95901-8270 | 2020-10-23 |
| 1144843632 | Taylor Harris | Behavior Technician | 5629 125th Pl Ne, Marysville, WA 98271-6641 | 2020-05-19 |
| 1205398187 | Olivia Velasquez | Behavior Technician | 7905 85th Ave Ne, Marysville, WA 98270-7407 | 2019-04-01 |
| 1508335407 | Brooklynn Scott | Behavior Technician | 1210 E 22nd St Apt 77, Marysville, CA 95901-4055 | 2018-11-20 |
| 1497224646 | Deanna Elaine Borjesson | Behavior Technician | 1927 Pyramid Creek Dr, Marysville, CA 95901-8277 | 2018-11-16 |
| 1255835732 | Sandra Verduzco | Behavior Technician | 330 9th St Ste 8, Marysville, CA 95901-5342 | 2018-03-20 |
| 1912424557 | Jasmine Nicole Powers-mesna | Behavior Technician | 413 Pine Street, Marysville, CA 95901 | 2017-08-24 |
| 1346764784 | Ashley Rose Gomes | Behavior Technician | 1756 Cobblestone Dr, Marysville, CA 95901-8229 | 2017-07-27 |
| 1558891937 | Ashley Ann Troughton | Behavior Technician | 1316 Blue St, Marysville, CA 95901-4512 | 2017-06-18 |
| 1841725793 | Ashley Larcom | Behavior Technician | 5678 Oakwood Dr, Marysville, CA 95901-7303 | 2017-04-28 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
Please comment or provide details below to improve the information on TRAVIS LEE BOSTON.
| 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.