NPIMap

Individual provider Active NPI

Aubree Malcomb

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1104257971
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-15024 Issued in WA
Practice address
2510 Westmont Way W
Seattle, WA 98199-3720
Phone
(206) 604-3214
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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 1-13-15024 WA Primary

Addresses

Primary practice location

2510 Westmont Way W
Seattle, WA 98199-3720

Mailing address

2510 Westmont Way W
Seattle, WA 98199-3720
Phone (206) 604-3214

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Village Behavior Services LLC Behavior Analyst CurrentSince Apr 16, 2023 Accepting new patients
Magnolia Behavior Therapy Behavior Analyst Past Accepting new patients
Magnolia Behavior Therapy Past Accepting new patients

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680998400000",
    "number": "1104257971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WESTMONT WAY W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993720",
            "telephone_number": "206-604-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTMONT WAY W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993720",
            "telephone_number": "206-604-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOMB",
        "first_name": "AUBREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-13-15024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.