Organization Active NPI

Behavior Blueprint Northwest LLC

  • Behavior Analyst
  • Lynnwood, WA
National Provider Identifier
1144156845
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR BLUEPRINT NORTHWEST LLC
Practice address
15115 40TH Ave W Apt B
Lynnwood, WA 98087-8946
Phone
(253) 797-6613
NPI assigned
Jun 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Guy Brewer, BCBA
Title
Member
Phone
(253) 797-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

15115 40TH Ave W Apt B
Lynnwood, WA 98087-8946

Mailing address

15115 40TH Ave W Apt B
Lynnwood, WA 98087-8946
Phone (253) 797-6613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1144156845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 40TH AVE W APT B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878946",
            "telephone_number": "253-797-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 40TH AVE W APT B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878946",
            "telephone_number": "253-797-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BLUEPRINT NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-797-6613",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.