Individual provider Active NPI

Janice Deann Hanson, LBA, BCBA

  • Behavior Analyst
  • Federal Way, WA
National Provider Identifier
1184130353
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61207294 Issued in WA
Practice address
2313 SW 339TH St
Federal Way, WA 98023-7730
Phone
(508) 981-3897
Fax
(508) 981-3897
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA61207294 WA Primary

Addresses

Primary practice location

2313 SW 339TH St
Federal Way, WA 98023-7730

Mailing address

507 S 309TH CT
Federal Way, WA 98003-4068
Phone (253) 466-6463

Other practice location 1

507 S 309th Ct
Federal Way, WA 98003-4068
Phone (206) 679-6979

Other identifiers 2

IdentifierTypeStateIssuer
BA61207294OtherWALICENSED BEHAVIOR ANALYST CERTIFICATION NUMBER
1-21-51704OtherBOARD CERTIFIED BEHAVIOR ANALYST CERTIFICATION NUMBER

Other names 1

  • Janice Deann Chitty Former name

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
BA61207294WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Rose Behavioral Consulting Behavior Analyst CurrentSince Oct 30, 2022 Accepting new patients
Behavior Issues Past Accepting new patients

Organizations & group practices 2

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": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1184130353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S 309TH CT",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034068",
            "telephone_number": "253-466-6463",
            "fax_number": "888-255-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 SW 339TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237730",
            "telephone_number": "508-981-3897",
            "fax_number": "508-981-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S 309th Ct",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980034068",
            "country_code": "US",
            "telephone_number": "206-679-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JANICE",
        "middle_name": "DEANN",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61207294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST CERTIFICATION NUMBER",
            "identifier": "BA61207294",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST CERTIFICATION NUMBER",
            "identifier": "1-21-51704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "CHITTY",
            "middle_name": "DEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.