Individual provider Active NPI

Bethany Joyanna Lee, BCBA

  • Behavior Analyst
  • Palmer, AK
National Provider Identifier
1053926758
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
243817 Issued in AK
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

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
243817AKMDBehavioral Analyst
200945AKMDAssistant 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.

Verify at the official NPI Registry.