Michael Sycz Jr., M.A. BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

61151781 Issued in WA

Practice address

27023 164TH Ave SE
Covington, WA 98042-8241

Phone

(253) 639-7146

NPI assigned

Nov 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Emerald Learning, PLLC

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1437876158
  NPD Authorized official
• Mindsource Center, LLC

  • Community/Behavioral Health Agency
  • Covington, WA
  • NPI 1477978849
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1174065700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27023 164TH AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428241",
            "telephone_number": "253-639-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYCZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A. BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "61151781",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11210465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Strunk, MD
• Noah Ryan Sturgill
• Sue J. Kim, DDS, PLLC
• Celita Louise Summerrise
• Carl Swanstrom, PHD
• Matin Syed
• John Leo Szrejter, ASSOCIATES DEGREE
• Tacoma Emergency Care Physicians, PLLC
• Danilo Vitente Tadeo, M.D., MLS(ASCP)CM
• Shawna Ann Tafoya, L. M. T.

• Behavior Analyst in Covington, WA
• Providers in Covington, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.