Anastasiya Shapovalova, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

60763539 Issued in WA

Practice address

10228 9TH Ave S
Seattle, WA 98168-1513

Phone

(323) 243-0413

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anastasiya@acornandoakbehaviortherapy.com

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.

• Acorn and Oak Behavioral and Educational Services LLC

  • Behavior Analyst
  • Seattle, WA
  • NPI 1578171153
  NPD Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1306124896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10228 9TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681513",
            "telephone_number": "323-243-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 9TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681513",
            "telephone_number": "323-243-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 E Denny Way Apt 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981223051",
            "country_code": "US",
            "telephone_number": "323-243-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPOVALOVA",
        "first_name": "ANASTASIYA",
        "name_prefix": "Ms.",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "60763539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anastasiya@AcornandOakBehaviorTherapy.com",
            "affiliation": "N",
            "endpointDescription": "business webiste",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10228 9th Ave S",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981681513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin Gail Shapiro, LICSW
• Stephanie Lynne Shapiro
• Steven Shapiro, PHD
• Tanya Patricia Shapiro, LMHC
• Sheila Shapouri
• Alexander Shappie, PH.D.
• Nathaniel Shara, LCSW
• Imran Sharaf, MD
• Maggie Lea Sharar
• Samuel R Sharar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.