Active NPI
Caitlyn Jane Morgan
- Assistant Behavior Analyst
- Bellevue, WA
National Provider Identifier
1093303695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- AB61595497
- Practice address
- 5150 Village Park Dr SE
Bellevue, WA 98006-6652 - Phone
- (426) 657-0620
- NPI assigned
- Jan 8, 2021
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | AB61595497 | WA | Primary |
Addresses
Primary practice location
5150 Village Park Dr SE
Bellevue, WA 98006-6652
Mailing address
3551 NE 182ND St
Lake Forest Park, WA 98155-4221
Phone (630) 945-4450
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
| License | State | Type | Specialty |
|---|---|---|---|
| AB61595497 | WA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1093303695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 NE 182ND ST",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981554221",
"telephone_number": "630-945-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 VILLAGE PARK DR SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066652",
"telephone_number": "426-657-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CAITLYN",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2021-01-08",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "WA",
"license": "AB61595497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.