Individual provider Active NPI

Paige M. King, M.S., BCBA, LBA

  • Behavior Analyst
  • Vancouver, WA
National Provider Identifier
1215318068
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
CG60551466 Issued in WA
Practice address
12009 NE 99TH St Ste 1430
Vancouver, WA 98682-2497
Phone
(253) 237-4170
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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 CG60551466 WA Primary

Addresses

Primary practice location

12009 NE 99TH St Ste 1430
Vancouver, WA 98682-2497

Mailing address

12009 NE 99TH St Ste 1430
Vancouver, WA 98682-2497
Phone (253) 237-4170

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CG60551466WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Services and Care Behavior Analyst CurrentSince Jun 23, 2024 Accepting new patients

Locations

12009 NE 99th St
Ste 1430
Vancouver, WA 98682
Phone (360) 524-2144

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1215318068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 NE 99TH ST STE 1430",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822497",
            "telephone_number": "253-237-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12009 NE 99TH ST STE 1430",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822497",
            "telephone_number": "253-237-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PAIGE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60551466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.