Individual provider Active NPI

Dora Kovacs

  • Behavior Analyst
  • Kent, WA
National Provider Identifier
1174167415
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61574214 Issued in WA
Practice address
8725 S 212TH St
Kent, WA 98031-1921
Phone
(425) 658-3016
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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
Behavior Analyst 103K00000X BA61574214 WA Primary

Addresses

Primary practice location

8725 S 212TH St
Kent, WA 98031-1921

Mailing address

6505 218TH St SW Ste 12
Mountlake Terrace, WA 98043-2135

Other practice location 1

4043 NE 95th St
Seattle, WA 98115-2548
Phone (206) 369-5795

Other practice location 2

6505 218th St SW Ste 12
Mountlake Terrace, WA 98043-2135
Phone (206) 388-0544

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
BA61574214WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Cbpi, LLC. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1174167415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 218TH ST SW STE 12",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 S 212TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311921",
            "telephone_number": "425-658-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4043 NE 95th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152548",
            "country_code": "US",
            "telephone_number": "206-369-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 218th St SW Ste 12",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432135",
            "country_code": "US",
            "telephone_number": "206-388-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "DORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61574214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.