Active NPI
Sarah Marie Beals, CBT
- Behavior Technician
- Everett, WA
National Provider Identifier
1194597583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 61465959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61465959 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics NW LLC | Current | 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.
-
- Behavior Analyst
- Raymond, WA
- NPI 1073864849
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.