Individual provider Active NPI

Stacey Hotter-Knight

  • Behavior Analyst
  • Oak Harbor, WA
National Provider Identifier
1093009193
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1095548 Issued in CA
Practice address
231 SE Barrington Dr
Suite 203
Oak Harbor, WA 98277-3200
Phone
(559) 265-2209
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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 1095548 CA Primary

Addresses

Primary practice location

231 SE Barrington Dr
Suite 203
Oak Harbor, WA 98277-3200

Mailing address

231 SE Barrington Dr
Suite 203
Oak Harbor, WA 98277-3200
Phone (559) 265-2209

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
1095548CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Behavior Connections Behavior Analyst Current Accepting new patients
L.E.a.P.S. and Beyond, Inc Behavior Analyst Current Accepting new patients
L.E.a.P.S and Beyond, Inc Current Accepting new patients

Locations

837 Callahan Dr
Ste C
Bremerton, WA 98310
Phone (360) 479-8477

231 SE Barrington Dr
Ste 203
Oak Harbor, WA 98277
Phone (559) 265-2209

1720 N Hamilton St
Spokane, WA 99207
Phone (509) 328-2632

7808 Pacific Ave
Ste 9
Tacoma, WA 98408
Phone (509) 321-7590

Organizations & group practices 3

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1093009193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "address_2": "SUITE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "559-265-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "address_2": "SUITE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "559-265-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTTER-KNIGHT",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1095548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.