NPIMap

Organization Active NPI

Seattle Behavior Consulting & Therapy, LLC

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1124455142
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SEATTLE BEHAVIOR CONSULTING & THERAPY, LLC
Practice address
4746 11TH Ave NE
Suite 102
Seattle, WA 98105-4657
Phone
(206) 535-8876
Fax
(206) 486-9938
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Mara Katra Oblak, PHD, BCBA-D
Title
Owner/Behavior Analyst
Phone
(206) 535-8876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X 1-09-5509

Addresses

Primary practice location

4746 11TH Ave NE
Suite 102
Seattle, WA 98105-4657

Mailing address

4746 11TH Ave NE
Suite 102
Seattle, WA 98105-4657
Phone (206) 535-8876

Other identifiers 1

IdentifierTypeStateIssuer
2034841MedicaidWA

National Provider Directory

National Provider Directory

Locations

4746 11th Ave NE
Ste 102
Seattle, WA 98105
Phone (206) 535-8876

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1124455142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 11TH AVE NE",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054657",
            "telephone_number": "206-535-8876",
            "fax_number": "206-486-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 11TH AVE NE",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054657",
            "telephone_number": "206-535-8876",
            "fax_number": "206-486-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE BEHAVIOR CONSULTING & THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "OBLAK",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "KATRA",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "206-535-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "1-09-5509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034841",
            "state": "WA"
        }
    ],
    "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 Mar 11, 2016; 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.