MS. AMANDA LARANE LEWIS (NPI# 1902372576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902372576 |
Entity Type | Individual |
Full Name | MS. AMANDA LARANE LEWIS |
Practice Address |
912 Ne Kelly Ave Ste 100c Gresham OR 97030-5629 |
Practice Telephone | 5039125503 |
Mailing Telephone | 5039125503 |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 2701088 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619458130 | Amanda Maureen Lewis | Counselor | 88 Auckland St Apt 3, Dorchester, MA 02125-3327 | 2018-08-23 |
1780178038 | Amanda Lewis | Speech-Language Pathologist | 1781 W Placita De Vanegas, Tucson, AZ 85704-1000 | 2018-06-20 |
1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
1902328735 | Amanda S Lewis | Social Worker | 66 Hermans Ln, Crossville, TN 38555-4314 | 2017-07-13 |
1780110445 | Amanda Lewis | Physician Assistant | 6086 S Iola Way, Englewood, CO 80111-5705 | 2017-05-02 |
1518360171 | Amanda R Lewis | Social Worker | 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494 | 2014-09-26 |
1659793032 | Amanda Lewis | Behavioral Analyst | 6915 Shavelson St, Houston, TX 77055-7630 | 2014-01-20 |
1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
1467535138 | Amanda G Lewis | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-10-24 |
1427091842 | Amanda Jane Lewis | Dentist | 2220 N Monroe St, Decatur, IL 62526-6304 | 2006-06-14 |
Street Address |
912 NE KELLY AVE STE 100C |
City | GRESHAM |
State | OR |
Zip Code | 97030-5629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366937609 | Chelsea Ashley Dryer | Behavior Technician | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2018-06-28 |
1588204382 | Julia Erin Moore | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2020-01-09 |
1871137810 | Courtney Raquel Calavan | Behavior Technician | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-11-02 |
1538703558 | Selam Kahassay | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-11-01 |
1003450222 | Hailee Tyne Fischer | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-10-30 |
1821648197 | Elaina K Griffin | Behavior Technician | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-09-18 |
1225688591 | Kendra Migliacci | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-09-18 |
1669020954 | Thamara Mendez | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-08-29 |
1801352877 | Bonnie Eileen Carlsen | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2019-02-14 |
1548731607 | Kristina Petrovna Motyko | Behavioral Analyst | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2018-12-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
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 |
---|---|---|---|---|
1366937609 | Chelsea Ashley Dryer | Behavior Technician | 912 Ne Kelly Ave Ste 100c, Gresham, OR 97030-5629 | 2018-06-28 |
1154812139 | Megan Mercedes Cooper | Behavior Technician | 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 | 2018-05-24 |
1609370501 | Delia Yulisa Ruiz | Behavior Technician | 912 Ne Kelly Ave Ste 100, Gresham, OR 97030-5631 | 2018-03-23 |
1639786098 | Bailey Ritschard | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-09-29 |
1245847615 | Samantha Overton | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-09-29 |
1477160943 | Madison Limon | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-09-28 |
1750994604 | Summer Barraza | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-08-28 |
1992318844 | Ashly Rincon | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-08-28 |
1518591734 | Breck Butler | Behavior Technician | 1851 Nw Civic Dr, Gresham, OR 97030-5566 | 2020-02-26 |
1689208225 | Liliana Marie Moore Lopez | Behavior Technician | 912 Ne Kelly Ave # 100c, Gresham, OR 97030-5629 | 2020-02-22 |
Find all providers in GRESHAM |
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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.