Bethany Grace Nelson, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-14-5775 Issued in WA

Practice address

3100 NW Bucklin Hill Rd Ste 224
Silverdale, WA 98383-8365

Phone

(360) 536-3060

Fax

(347) 823-9717

NPI assigned

Apr 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134547193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 SE 263RD ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980426020",
            "telephone_number": "360-929-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 224",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838365",
            "telephone_number": "360-536-3060",
            "fax_number": "347-823-9717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19201 SE 263rd St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980426020",
            "country_code": "US",
            "telephone_number": "360-929-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BETHANY",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "0-14-5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nawal Alkharouf
• Abigail Nees
• Carissa Nees
• Desirae Nees, LMT
• Sarah A Neitzel, DPM
• Lori A Nelson, ARNP
• Ruth M Nelson
• Arthur Ness, MASSAGE THERAPIST
• Diane M Newman-Branch, OTRL
• Ian Andrew Newton, RPH

• Assistant Behavior Analyst in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.