Amber Leann Locke

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

632 182ND St SE
Bothell, WA 98012-6275

Phone

(425) 246-9784

NPI assigned

Dec 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Wickler Behavioral Consulting Corp.

  • Behavior Analyst
  • Bothell, WA
  • NPI 1164961025

  Behavior Technician

  NPD

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1053907394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 NE 39TH CT APT D1011",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526316",
            "telephone_number": "425-533-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 182ND ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126275",
            "telephone_number": "425-246-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "AMBER",
        "middle_name": "LEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CentralReach.com",
            "affiliation": "Y",
            "affiliationName": "Wickler Behavioral Consulting Corp.",
            "address_1": "632 182nd St SE",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980126275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory V. Litvinov, LMP
• Shiquan Liu, MD, PHD
• Steven Liu
• Living Medical Arts, PLLC
• Stefan M Locher, LMHCA
• Sam Locke
• Locknane Athletic Medicine LLC
• Neha Lodha
• Allyson Lohrmann, ARNP
• Denice Marie Loken, BSN, RN, CCM, WWCP

• Behavior Technician in Bothell, WA
• Providers in Bothell, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.