Organization Active NPI

Mybestbehavior, LLC

  • Behavior Analyst
  • Vancouver, WA
National Provider Identifier
1174068464
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17447 Issued in CA
Legal business name
MYBESTBEHAVIOR, LLC
Practice address
1220 Main St Ste 424
Vancouver, WA 98660-2953
Phone
(360) 751-5096
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Molly Rogers
Title
Onsite Supervisor
Phone
(360) 751-5096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-14-17447 CA Primary
Developmentally Disabled Services Day Training Agency 251C00000X CL60641699 WA

Addresses

Primary practice location

1220 Main St Ste 424
Vancouver, WA 98660-2953

Mailing address

1220 Main St Ste 424
Vancouver, WA 98660-2953
Phone (360) 751-5096

Other identifiers 1

IdentifierTypeStateIssuer
206877701MedicaidWA

National Provider Directory

National Provider Directory

Locations

1220 Main St
Ste 424
Vancouver, WA 98660
Phone (360) 751-5096

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1174068464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 424",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602953",
            "telephone_number": "360-751-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 424",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602953",
            "telephone_number": "360-751-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBESTBEHAVIOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "ONSITE SUPERVISOR",
        "authorized_official_telephone_number": "360-751-5096"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-17447",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WA",
            "license": "CL60641699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206877701",
            "state": "WA"
        }
    ],
    "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 Dec 22, 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.