Mika Rollin, MS, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16313 Issued in WA

Practice address

832B NW 52ND St
Seattle, WA 98107-3640

Phone

(619) 917-9568

NPI assigned

Apr 6, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1174987085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832B NW 52ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073640",
            "telephone_number": "619-917-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832B NW 52ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073640",
            "telephone_number": "619-917-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLIN",
        "first_name": "MIKA",
        "credential": "MS, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-14-16313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Maria Rolfs, MSW, LICSW, PTR
• Michelle Lynn Rolfs, LAC, EAMP, LMT
• Jessalyn Roling, LBA
• Alice Roll, RN
• Carolyn Nora Roll, PHD
• Maria Rollins, PA-C
• Brienne Roloff-Chiang, D.D.S., M.S.D.
• Patricia L Rolstad, ARNP
• Myrna A Romack, RPH
• John Mark Roman-Quiles

• Behavior Analyst in Seattle, WA
• Providers in Seattle, 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 26, 2019; 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.