Organization Active NPI

Rising Waves Behavior Services

  • Behavior Analyst
  • Bremerton, WA
National Provider Identifier
1225829286
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISING WAVES BEHAVIOR SERVICES
Practice address
258 4TH St
Bremerton, WA 98337-1813
Phone
(360) 431-2724
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Sara Nickerson, BCBANPI 1174968259
Title
Bcba, Clinical Supervisor
Phone
(360) 431-2724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

258 4TH St
Bremerton, WA 98337-1813

Mailing address

258 4TH St
Bremerton, WA 98337-1813
Phone (360) 431-2724

National Provider Directory

National Provider Directory

Locations

258 4th St
Bremerton, WA 98337
Phone (253) 691-3933

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1225829286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371813",
            "telephone_number": "360-431-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 4TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371813",
            "telephone_number": "360-431-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING WAVES BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "BCBA, CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "360-431-2724",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.