Active NPI
John McDonald
- Behavior Technician
- Spokane, WA
National Provider Identifier
1043725534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 111 E Central Ave
Spokane, WA 99208-1108 - Phone
- (360) 240-0022
- NPI assigned
- Dec 6, 2017
- Sex
- Male
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
111 E Central Ave
Spokane, WA 99208-1108
Mailing address
3100 NW Bucklin Hill Rd Ste 215
Silverdale, WA 98383-8363
Phone (360) 337-2222
Other practice location 1
3100 NW Bucklin Hill Rd Ste 215
Silverdale, WA 98383-8363
Phone (360) 337-2222
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": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1043725534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 NW BUCKLIN HILL RD STE 215",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838363",
"telephone_number": "360-337-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E CENTRAL AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081108",
"telephone_number": "360-240-0022"
}
],
"practiceLocations": [
{
"address_1": "3100 NW Bucklin Hill Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983838363",
"country_code": "US",
"telephone_number": "360-337-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-06",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.