NPIMap

Organization Active NPI

A New Leaf Behavioral Services PLLC

  • Behavior Analyst
  • Langley, WA
National Provider Identifier
1306437033
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
A NEW LEAF BEHAVIORAL SERVICES PLLC
Practice address
3694 Emmet PL
Langley, WA 98260-8012
Phone
(360) 434-1424
Fax
(425) 249-3370
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Chelsey K Bridgeman, M.ED., LBA, BCBANPI 1770974024
Title
Behavior Analyst
Phone
(360) 434-1424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3694 Emmet PL
Langley, WA 98260-8012

Mailing address

3694 Emmet PL
Langley, WA 98260-8012
Phone (360) 434-1424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelseybridgeman@anewleafaba.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1306437033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 EMMET PL",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608012",
            "telephone_number": "360-434-1424",
            "fax_number": "425-249-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 EMMET PL",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608012",
            "telephone_number": "360-434-1424",
            "fax_number": "425-249-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LEAF BEHAVIORAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "BRIDGEMAN",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "360-434-1424",
        "authorized_official_credential": "M.ED., LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelseybridgeman@anewleafaba.com",
            "affiliation": "N",
            "endpointDescription": "google workspace email HIPPA protected by Paubox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3694 Emmet Pl",
            "city": "Langley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982608012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.