Individual provider Active NPI

Sarah Marie Beals, CBT

  • Behavior Technician
  • Everett, WA
National Provider Identifier
1194597583
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
61465959 Issued in WA
Practice address
900 Pacific Ave Ste 100
Everett, WA 98201-4188
Phone
(425) 258-7097
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 61465959 WA Primary

Addresses

Primary practice location

900 Pacific Ave Ste 100
Everett, WA 98201-4188

Mailing address

900 Pacific Ave Ste 100
Everett, WA 98201-4188
Phone (425) 258-7097

Other practice location 1

320 6th St
Raymond, WA 98577-2503
Phone (360) 815-6868

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
61465959WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Basics NW LLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

320 6th St
Raymond, WA 98577
Phone (360) 280-4414

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1194597583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PACIFIC AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014188",
            "telephone_number": "425-258-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PACIFIC AVE STE 100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014188",
            "telephone_number": "425-258-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 6th St",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "WA",
            "postal_code": "985772503",
            "country_code": "US",
            "telephone_number": "360-815-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALS",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61465959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.