Individual provider Active NPI

Erik M Eagle, BCBA

  • Behavior Analyst
  • Auburn, WA
National Provider Identifier
1265957369
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23142 Issued in CO
Practice address
4508 Auburn Way N Ste B
Auburn, WA 98002-1381
Phone
(425) 246-7038
Fax
(253) 354-0039
NPI assigned
Aug 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 1-16-23142 CO Primary

Addresses

Primary practice location

4508 Auburn Way N Ste B
Auburn, WA 98002-1381

Mailing address

4508 Auburn Way N Ste B
Auburn, WA 98002-1381
Phone (425) 246-7038

Other practice location 1

22021 7th Ave S Ste 205-208
Des Moines, WA 98198-6218
Phone (425) 246-7038

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
Step Up ABA, LLC Behavior Analyst PastSince Mar 30, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1265957369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N STE B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381",
            "telephone_number": "425-246-7038",
            "fax_number": "253-354-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N STE B",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381",
            "telephone_number": "425-246-7038",
            "fax_number": "253-354-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22021 7th Ave S Ste 205-208",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981986218",
            "country_code": "US",
            "telephone_number": "425-246-7038",
            "fax_number": "253-354-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "ERIK",
        "middle_name": "M",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-23142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.