Active NPI
Emily Elizabeth Kroman
- Behavior Analyst
- Bainbridge Island, WA
National Provider Identifier
1003156621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA60772956
- Practice address
- 4088 Mattson PL NE
Bainbridge Island, WA 98110-2224 - Phone
- (206) 919-6546
- Fax
- (206) 451-5681
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | BA60772956 | WA | Primary |
Addresses
Primary practice location
4088 Mattson PL NE
Bainbridge Island, WA 98110-2224
Mailing address
271 Winslow Way E Unit 10405
Bainbridge Island, WA 98110-9972
Phone (206) 919-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA60772956 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Behavior LLC | Behavior Analyst | Current | Accepting new patients |
Locations
271 Winslow Way E
Unit 10405
Bainbridge Island, WA 98110
Phone (206) 919-6546
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1003156621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 WINSLOW WAY E UNIT 10405",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981109972",
"telephone_number": "206-919-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4088 MATTSON PL NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102224",
"telephone_number": "206-919-6546",
"fax_number": "206-451-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROMAN",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA60772956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.