Rebecca Nicole Haugan, MABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61326277 Issued in WA

Practice address

15406 Meridian E Ste 103
Puyallup, WA 98375-9504

Phone

(253) 200-5046

NPI assigned

Jun 24, 2021

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1235708025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-200-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-200-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGAN",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61085899",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61326277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Hatfield, LMT
• Jon Hatfield, PHARMD
• John M Hathaway, LMP
• Kristen Hatlestad
• Natalie Rose Haubrich, PAC
• Gavin Haugen
• Leah Sue Haugen
• Iva Haukenes, MS CCC-SLP
• Carolyn M. Haven, P T
• Wesley Neil Havens, PT

• Behavior Analyst in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.