CODY WAYNE MERRITT (NPI# 1841792967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841792967 |
| Entity Type | Individual |
| Full Name | CODY WAYNE MERRITT |
| Practice Address |
3494 Liberty Rd S Salem OR 97302-4607 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9713040660 |
| Mailing Telephone | 5415302737 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| 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 |
3494 LIBERTY RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408167 | James D Landreau | Family Medicine | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2005-12-21 |
| 1114538238 | Willow Kiowa Shamain | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-08-12 |
| 1760090054 | Andres D Arciga | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-07-22 |
| 1952937575 | Allie Lien Mccarty-monk | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-03-15 |
| 1952936510 | Carolina Sofia Cordero Mota | Behavioral Analyst | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-03-04 |
| 1326679374 | Micah Hadley | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-01-29 |
| 1538709589 | Jennah Tarabeih | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-01-07 |
| 1528607645 | Brooke Michele Smith | Behavior Technician | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-01-06 |
| 1750920286 | Mikaela Kirby | Behavioral Analyst | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2020-01-01 |
| 1174167332 | Shaleea Letecia Ramirez | Behavioral Analyst | 3494 Liberty Rd S, Salem, OR 97302-4607 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1184246290 | Jill Casazza | Behavior Technician | 21 Merrill Ave, Salem, NH 03079-2729 | 2020-05-12 |
| 1972135515 | Joseph Coppellotti | Behavior Technician | 12 Cushing St, Salem, MA 01970-1508 | 2020-02-11 |
| 1730723289 | Samantha Muniz-pierzina | Behavior Technician | 2550 Lancaster Dr Ne Apt 43, Salem, OR 97305-1212 | 2019-10-28 |
| 1295384733 | Adedayo M Adenekan | Behavior Technician | 109 Country Club Est, Salem, IL 62881-3631 | 2019-09-07 |
| 1487209706 | Phylleshia Manglona Aquino | Behavior Technician | 4430 Conser Way Ne Apt 201, Salem, OR 97305-4056 | 2019-08-04 |
| 1457904500 | Linda Thomas-drouin | Behavior Technician | 21 Sand Hill Rd Apt 23, Salem, NH 03079-4337 | 2019-07-18 |
| 1750934006 | Ashley L. Hayes | Behavior Technician | 7 Ballard Ln, Salem, NH 03079-2473 | 2019-07-16 |
| 1548820129 | Kiley Elizabeth Sheehan | Behavior Technician | 3790 Auburn Rd Ne, Salem, OR 97301-4763 | 2019-06-17 |
| 1184289001 | Mckenna Dipietro | Behavior Technician | 20 Matthias St, Salem, NH 03079-3205 | 2019-05-06 |
| Find all providers in SALEM | ||||
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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.