Tess Wolvert

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

10211426 Issued in OR

Practice address

140 S 1St Ave
Chiloquin, OR 97624-9738

Phone

(541) 591-5669

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Best Behavior Services, LLC

  • Behavior Analyst
  • Chiloquin, OR
  • NPI 1174086607
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1366046385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S 1ST AVE",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976249738",
            "telephone_number": "541-591-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S 1ST AVE",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976249738",
            "telephone_number": "541-591-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERT",
        "first_name": "TESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "10211426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sample, FNP
• Benjamin Russel Stuart, DNP, APRN, FNP-C
• Shaymaa Taha
• Joseph R Tibay, RD
• Ashley Marie Vandeberghe, MA
• Qiang Yin, M.D.

• Behavior Technician in Chiloquin, OR
• Providers in Chiloquin, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.