Individual provider Active NPI

Kathryn Ann Marie Sweeney, BCBA

  • Behavior Analyst
  • Burien, WA
National Provider Identifier
1255894630
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
803 SW 139TH St
Burien, WA 98166-1219
Phone
(509) 389-5757
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 Primary

Addresses

Primary practice location

803 SW 139TH St
Burien, WA 98166-1219

Mailing address

1615 Homecrest Ave
Kalamazoo, MI 49001-4351
Phone (206) 595-3352

Other names 1

  • Kathryn Ann Marie Sweeney Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.sweeney@sparksbehavioralservices.com Sparks Behavioral Services LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Behavioral Services LLC Behavior Analyst PastSince Sep 4, 2022 Accepting new patients
Homes Residential Care LLC Behavior Analyst PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1255894630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOMECREST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014351",
            "telephone_number": "206-595-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SW 139TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661219",
            "telephone_number": "509-389-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "KATHRYN",
        "middle_name": "ANN MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.sweeney@sparksbehavioralservices.com",
            "affiliation": "Y",
            "endpointDescription": "Secure work email",
            "affiliationName": "Sparks Behavioral Services LLC",
            "address_1": "3769 Quarton Rd",
            "city": "Bloomfield Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483024058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SWEENEY",
            "middle_name": "ANN MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.