Individual provider Active NPI

Heather Dorn-Deasy, BCBA

  • Behavior Analyst
  • Bellingham, WA
National Provider Identifier
1114159530
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4152 Meridian St # 105-146
Bellingham, WA 98226-5598
Phone
(360) 348-6414
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 Primary

Addresses

Primary practice location

4152 Meridian St # 105-146
Bellingham, WA 98226-5598

Mailing address

4152 Meridian St # 105-146
Bellingham, WA 98226-5598
Phone (360) 348-6414

Other practice location 1

2338 W Royal Palm Rd Ste J
Phoenix, AZ 85021-9339
Phone (855) 772-8847

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
Washington Family Support Services Behavior Analyst CurrentSince Dec 17, 2023 Accepting new patients
Treehouse Support Services Current Accepting new patients
Boston ABA Corporation Behavior Analyst Current Accepting new patients
Advantage Learning Group Past Accepting new patients

Locations

4152 Meridian St
Bellingham, WA 98226
Phone (360) 348-6414

Organizations & group practices 4

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1114159530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN ST # 105-146",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265598",
            "telephone_number": "360-348-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN ST # 105-146",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265598",
            "telephone_number": "360-348-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 W Royal Palm Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850219339",
            "country_code": "US",
            "telephone_number": "855-772-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORN-DEASY",
        "first_name": "HEATHER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.