Cyrilla Watson, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3313 W Cherry LN Ste 1041
Meridian, ID 83642-1119

Phone

(208) 921-8693

Fax

(208) 416-6922

NPI assigned

Aug 14, 2019

Last updated

Jul 11, 2024By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite ABA Solutions LLC

  • Behavior Analyst
  • Caldwell, ID
  • NPI 1184354227
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1174179279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W CHERRY LN STE 1041",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "208-921-8693",
            "fax_number": "208-416-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W CHERRY LN STE 1041",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "208-921-8693",
            "fax_number": "208-416-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CYRILLA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB BOARD",
            "identifier": "1-22-57850",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB BOARD",
            "identifier": "RBT-19-95584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Waterman, LCSW
• Suzanna Jolene Waters, PHD
• Amber Watkins, APRN-CNP
• Benjamin Watkins, PHARMD
• Benjamin Watson, PA-C
• Kimberly Watson, NP
• Mia Watson
• Michael A Watts, MD
• Jacob Wayda
• Waypoint Therapy

• Behavior Analyst in Meridian, ID
• Providers in Meridian, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.