Carley Humpherys

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BAC61639406 Issued in WA

Practice address

3231 Willamette Dr NE Ste C
Lacey, WA 98516-1378

Phone

(360) 790-2727

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

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  • NPI 1881234466
  NPD
• Explore ABA Therapy P.S.

  • Behavior Analyst
  • Lacey, WA
  • NPI 1205409539
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1053050385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 38TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033967",
            "telephone_number": "360-970-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WILLAMETTE DR NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161378",
            "telephone_number": "360-790-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHERYS",
        "first_name": "CARLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BAC61639406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Huff, OT
• Nicole J Hughes
• Terrence Hughes
• Human Body Works, LLC
• Christie Humberg
• Sarah Huntington, ARNP
• Richard Edward Hurst, MD
• Amer Hussaini
• HZL Properties LLC (Lodge at Roo Lan)
• Cassie Ann Icenogle, LMHC

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

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

Verify at the official NPI Registry.