STEPHEN JACK ECCLES (NPI# 1740847177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740847177 |
| Entity Type | Individual |
| Full Name | STEPHEN JACK ECCLES |
| Practice Address |
Trillium Children's Farm Home 4455 Ne Hwy 20 Corvallis OR 97330 |
| Practice Telephone | 5417571852 |
| Mailing Telephone | 5417571852 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| 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 |
TRILLIUM CHILDREN'S FARM HOME 4455 NE HWY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| 1760972913 | Taylor James Johnson | Counselor | 4455 Ne Hwy 20, Corvallis, Or 97330, Corvallis, OR 97330 | 2018-05-14 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1073157020 | Chandler Robinson | Behavior Technician | 4274 Ne Highway 20, Corvallis, OR 97330-9696 | 2019-11-02 |
| 1629635404 | Tayah Alexis Dennis | Behavior Technician | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-28 |
| 1891358834 | Monika Jakubkova | Behavior Technician | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2019-04-16 |
| 1538622113 | Chelsea Ann Whitlow Shay | Behavior Technician | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2019-04-10 |
| 1982139788 | Brandy Barrett | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-04-29 |
| 1689109100 | Jennifer Kim | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-04-21 |
| 1871024687 | Andrew Licon | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-03-23 |
| 1568903862 | Candice Michelle Weems Landry | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-03-20 |
| 1992246755 | Alec Sachs | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-03-13 |
| 1003354655 | Franklin Trent Peeples | Behavior Technician | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-02-03 |
| Find all providers in CORVALLIS | ||||
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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.