NPIMap

Organization Active NPI

Evergreen Pathways LLC

Doing business as Evergreen Pathways ABA

  • Behavior Analyst
  • Kent, WA
National Provider Identifier
1083586937
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERGREEN PATHWAYS LLC
Doing business as
Evergreen Pathways ABA
Practice address
10031 SE 258TH PL
Kent, WA 98030-2887
Phone
(614) 867-7520
NPI assigned
Sep 20, 2025
Last updated
Sep 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Hussein AliNPI 1265253769
Title
Member
Phone
(614) 867-7520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10031 SE 258TH PL
Kent, WA 98030-2887

Mailing address

10031 SE 258TH PL
Kent, WA 98030-2887
Phone (614) 867-7520

Other names 1

  • Evergreen Pathways ABA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1083586937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 SE 258TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302887",
            "telephone_number": "614-867-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 SE 258TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302887",
            "telephone_number": "614-867-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-867-7520"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Pathways ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.