Individual provider Active NPI

Andrea Villines

  • Behavior Analyst
  • Vancouver, WA
National Provider Identifier
1124572516
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8019 NE 13TH Ave
Vancouver, WA 98665-9604
Phone
(562) 682-8668
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CG60689728 WA
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

8019 NE 13TH Ave
Vancouver, WA 98665-9604

Mailing address

8019 NE 13TH Ave
Vancouver, WA 98665-9604
Phone (562) 682-8668

Other practice location 1

1700 Hudson St Ste 204
Longview, WA 98632-2931
Phone (562) 682-8668

Other practice location 2

385 E Penny Rd Ste 103
Wenatchee, WA 98801-8123
Phone (562) 682-8668

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
CG60689728WAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1124572516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "562-682-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "562-682-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Hudson St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322931",
            "country_code": "US",
            "telephone_number": "562-682-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 E Penny Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988018123",
            "country_code": "US",
            "telephone_number": "562-682-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLINES",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG60689728",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.