JESSICA FAAS (NPI# 1720685068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720685068 |
| Entity Type | Individual |
| Full Name | JESSICA FAAS |
| Practice Address |
2368 Crater Lake Ave Ste 102 Medford OR 97504-5006 |
| Mailing Address |
1784 Saratoga Way Grants Pass OR 97526-8908 |
| Practice Telephone | 6092355029 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 |
| Street Address |
2368 CRATER LAKE AVE STE 102 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164815122 | Amy Lindgren | Behavioral Analyst | 2368 Crater Lake Ave Ste 102, Medford, OR 97504-5006 | 2015-03-13 |
| 1841713666 | Brianne Williams | Behavioral Analyst | 2368 Crater Lake Ave Ste 102, Medford, OR 97504-5006 | 2017-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1245839372 | Giovanni Germain | Behavior Technician | 29 Fells Avenue Ter, Medford, MA 02155-1913 | 2020-10-20 |
| 1306304373 | Ariana Guerra | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2019-03-07 |
| 1144737412 | Tayler Rose | Behavior Technician | 227 Boston Ave, Medford, MA 02155-4223 | 2018-01-08 |
| 1548773120 | Corinne Waters | Behavior Technician | 20 Hillsdale Rd, Medford, MA 02155-5229 | 2017-11-06 |
| 1710499389 | Kira Gabridge | Behavior Technician | 14 Farragut Ave, Medford, MA 02155-4012 | 2017-11-03 |
| 1003423948 | Jasmin S Putnam | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-09-24 |
| 1033735220 | Colbi Breanne Mcbride | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-06-23 |
| 1447881198 | Arnold Jorge Lopez | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-01-31 |
| 1063043206 | Andrew Giardinelli | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2020-01-27 |
| 1427691484 | Landon Scott Sherbourne | Behavior Technician | 3709 Citation Way Ste 102, Medford, OR 97504-9022 | 2019-10-22 |
| Find all providers in MEDFORD | ||||
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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.