Active NPI
Amber J Vongphouthone, BCBA
- Behavior Analyst
- Spanaway, WA
National Provider Identifier
1083521033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA.BA.70171083
- Practice address
- 2504 194TH Street CT E
Spanaway, WA 98387-8575 - Phone
- (509) 617-6613
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA.BA.70171083 | WA | Primary |
Addresses
Primary practice location
2504 194TH Street CT E
Spanaway, WA 98387-8575
Mailing address
2504 194TH Street CT E
Spanaway, WA 98387-8575
Phone (509) 617-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1083521033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 194TH STREET CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878575",
"telephone_number": "509-617-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 194TH STREET CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983878575",
"telephone_number": "509-617-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONGPHOUTHONE",
"first_name": "AMBER",
"middle_name": "J",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "LBA.BA.70171083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.