KETURAH DURGA (NPI# 1699311852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699311852 |
| Entity Type | Individual |
| Full Name | KETURAH DURGA |
| Practice Address |
1205 35th Street Pl Se Puyallup WA 98372-4400 |
| Practice Telephone | 3373533726 |
| Mailing Telephone | 3373533726 |
| Mailing Fax Number | 2532510716 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABA | RBT194791189925 | 01 |
| Street Address |
1205 35TH STREET PL SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| 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 |
|---|---|---|---|---|
| 1699381053 | Laura A Gbadebo | Behavior Technician | 11321 183rd St E, Puyallup, WA 98374-8869 | 2020-09-21 |
| 1275024358 | Nolana Maes | Behavior Technician | 13809 114th Avenue Ct E, Puyallup, WA 98374-3972 | 2018-05-23 |
| 1265948574 | Taylor Marie Holman Brown | Behavior Technician | 1025 N Meridian Apt C10, Puyallup, WA 98371-4414 | 2017-12-21 |
| 1639619372 | Amy Joy Boulan | Behavior Technician | 407 Valley Ave Ne Apt U203, Puyallup, WA 98372-6940 | 2017-02-28 |
| 1891392114 | Cody Mcmullen | Behavior Technician | 205 15th Ave Sw Ste A, Puyallup, WA 98371-7873 | 2020-10-08 |
| 1952917841 | Kaylee Rodriguez | Behavior Technician | 205 15th Ave Sw Ste A, Puyallup, WA 98371-7873 | 2020-09-16 |
| 1871122259 | Ladyra Mcleod | Behavior Technician | 3003 Alderbrook Ct S, Puyallup, WA 98374-1626 | 2020-04-07 |
| 1114556644 | Cassie Barlow | Behavior Technician | 3003 Alderbrook Ct S, Puyallup, WA 98374-1626 | 2020-04-06 |
| 1396392288 | Lindsay M Larsen | Behavior Technician | 3003 Alderbrook Ct S, Puyallup, WA 98374-1626 | 2019-08-24 |
| 1497302384 | Chassidy M Goff | Behavior Technician | 3003 Alderbrook Ct S, Puyallup, WA 98374-1626 | 2019-08-24 |
| Find all providers in PUYALLUP | ||||
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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.