NPIMap

Organization Active NPI

Grow Behavior LLC

  • Behavior Analyst
  • Bainbridge Island, WA
National Provider Identifier
1285267765
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GROW BEHAVIOR LLC
Practice address
4088 Mattson PL NE
Bainbridge Island, WA 98110-2224
Phone
(206) 919-6546
Fax
(206) 451-5681
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Emily Kroman, BCBANPI 1003156621
Title
Owner
Phone
(206) 919-6546

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

4088 Mattson PL NE
Bainbridge Island, WA 98110-2224

Mailing address

271 Winslow Way E Unit 10405
Bainbridge Island, WA 98110-9972
Phone (206) 919-6546

Other names 1

  • Grow Behavior Services Doing business as

National Provider Directory

National Provider Directory

Locations

271 Winslow Way E
Unit 10405
Bainbridge Island, WA 98110
Phone (206) 919-6546

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": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1285267765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WINSLOW WAY E UNIT 10405",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981109972",
            "telephone_number": "206-919-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 MATTSON PL NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102224",
            "telephone_number": "206-919-6546",
            "fax_number": "206-451-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "KROMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-919-6546",
        "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": [
        {
            "organization_name": "Grow Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grow Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.