Active NPI
Kevin Stevralia
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1013396308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 9750 3Rd Ave NE
Seattle, WA 98115-2058 - Phone
- (206) 535-8876
- Fax
- (206) 486-9938
- NPI assigned
- May 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
9750 3Rd Ave NE
Seattle, WA 98115-2058
Mailing address
3711 26TH PL W
Apt 308
Seattle, WA 98199-2082
Phone (610) 533-4010
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": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1013396308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 26TH PL W",
"address_2": "APT 308",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981992082",
"telephone_number": "610-533-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 3RD AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152058",
"telephone_number": "206-535-8876",
"fax_number": "206-486-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVRALIA",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.