Individual provider Active NPI

Shakilla Elizabeth Player, BCBA, LBA

  • Behavior Analyst
  • Lynnwood, WA
National Provider Identifier
1063164069
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61263426 Issued in WA
Practice address
19217 36TH Ave W Ste 210
Lynnwood, WA 98036-5751
Phone
(425) 977-3711
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA61263426 WA Primary

Addresses

Primary practice location

19217 36TH Ave W Ste 210
Lynnwood, WA 98036-5751

Mailing address

4302 Center St Apt Y101
Tacoma, WA 98409-8623
Phone (206) 822-1551

Other names 1

  • Shakilla Elizabeth Spivery Former name

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
BA61263426WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
SP Behavior Consulting, LLC Behavior Analyst CurrentSince Jun 11, 2023 Accepting new patients
Spectrum Analytic Consulting Ca Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1063164069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 CENTER ST APT Y101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984098623",
            "telephone_number": "206-822-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-977-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAYER",
        "first_name": "SHAKILLA",
        "middle_name": "ELIZABETH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61263426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAKILLA",
            "last_name": "SPIVERY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.