Northern Pines ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTHERN PINES ABA

Practice address

4119 E 12TH Ave
Spokane, WA 99202-5336

Phone

(509) 990-9096

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Carly Ann McElvaine, BCBA

Title

Owner

Phone

(509) 990-9096

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Spivey

  • Behavior Technician
  • Spokane, WA
  • NPI 1609561182
  NPD
• Carly Scott

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1275008955
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1023600244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30395",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 E 12TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025336",
            "telephone_number": "509-990-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "MCELVAINE",
        "authorized_official_first_name": "CARLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-990-9096",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Spokane Gynecology and Cosmetic Laser PC
• North Spokane Pulmonary Clinic, P.S.
• North Spokane Womens Health PS
• Northeast Washington Educational Service District 101
• Northeast Washington Educational Service District 101
• Northern Pines Academy
• Shelley L Northern, CNM
• Northform Psychiatry, PLLC
• Northland Hearing Center, Inc.
• Northpointe Family Dentistry

• Behavior Analyst in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.