Active NPI
Bethany Joyanna Lee, BCBA
- Behavior Analyst
- Palmer, AK
National Provider Identifier
1053926758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 243817
- Practice address
- 7610 E Palmer Wasilla Hwy
Palmer, AK 99645-8467 - Phone
- (907) 206-4401
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 243817 | AK | Primary |
| Assistant Behavior Analyst | 106E00000X | 200945 | AK |
Addresses
Primary practice location
7610 E Palmer Wasilla Hwy
Palmer, AK 99645-8467
Mailing address
7610 E Palmer Wasilla Hwy
Palmer, AK 99645-8467
Phone (907) 903-1949
Other practice location 1
1732 N Birdsell Dr Unit B
Wasilla, AK 99623-9307
Phone (907) 903-1949
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243817 | AK | MD | Behavioral Analyst |
| 200945 | AK | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1053926758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 E PALMER WASILLA HWY",
"city": "PALMER",
"state": "AK",
"postal_code": "996458467",
"telephone_number": "907-903-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 E PALMER WASILLA HWY",
"city": "PALMER",
"state": "AK",
"postal_code": "996458467",
"telephone_number": "907-206-4401"
}
],
"practiceLocations": [
{
"address_1": "1732 N Birdsell Dr Unit B",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996239307",
"country_code": "US",
"telephone_number": "907-903-1949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "BETHANY",
"middle_name": "JOYANNA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AK",
"license": "243817",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "AK",
"license": "200945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.