Individual provider Active NPI

Elisabeth Kathryn Evans, BCBA

  • Behavior Analyst
  • Spokane Valley, WA
National Provider Identifier
1003318502
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33644 Issued in CA
Practice address
16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830
Phone
(509) 324-6421
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-18-33644 CA Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830

Mailing address

340 W Sunset Way Apt A202
Issaquah, WA 98027-3159

Other practice location 1

2000 Powell St Ste 900
Emeryville, CA 94608-1888
Phone (510) 982-3773

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

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1003318502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W SUNSET WAY APT A202",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-324-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Powell St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946081888",
            "country_code": "US",
            "telephone_number": "510-982-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ELISABETH",
        "middle_name": "KATHRYN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-33644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.