JASEE S SMITH (NPI# 1861005571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861005571 |
| Entity Type | Individual |
| Full Name | JASEE S SMITH |
| Practice Address |
615 S Division St Ste A Moses Lake WA 98837-3800 |
| Mailing Address |
1125 S Eastlake Dr Moses Lake WA 98837-2113 |
| Practice Telephone | 5097646644 |
| Practice Fax Number | 5097646676 |
| Mailing Telephone | 5097701107 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 618 S Alder St, Moses Lake, WA 988371760 | 5097646644 |
| Street Address |
615 S DIVISION ST STE A |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1740893452 | Aaron R Wilder | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-08-24 |
| 1003425778 | Gabriella Maria Noyola | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-07-28 |
| 1629693403 | Isabel Diaz | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-06-08 |
| 1851945182 | Parkview Medical Group Inc | Counselor | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2019-07-25 |
| 1164075255 | Jodi Marie Garcia | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2019-07-18 |
| 1356842322 | Mariah Nicole Hernandez-gurley | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2018-02-26 |
| 1447758495 | Sara K Macdonald | Social Worker | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2018-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| 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 |
|---|---|---|---|---|
| 1760082200 | Stacey D Rippy | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2020-10-26 |
| 1588262836 | Amber Brocklebank | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2020-10-09 |
| 1740893452 | Aaron R Wilder | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-08-24 |
| 1003425778 | Gabriella Maria Noyola | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-07-28 |
| 1629693403 | Isabel Diaz | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2020-06-08 |
| 1710524640 | Mayra Olivares | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2019-12-10 |
| 1164075255 | Jodi Marie Garcia | Behavior Technician | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2019-07-18 |
| 1669032611 | Janette A Ruiz Arroyo | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2019-06-20 |
| 1669941449 | Alexandria Rose Dieringer | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2018-11-21 |
| 1962993477 | Madison M Barrientoz | Behavior Technician | 618 S Alder St, Moses Lake, WA 98837-1760 | 2018-05-21 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
Please comment or provide details below to improve the information on JASEE S SMITH.
| 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.