Individual provider Active NPI

Trevor Geren, BCB, LBA

  • Behavior Analyst
  • Spokane, WA
National Provider Identifier
1316427057
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61471962 Issued in WA
Practice address
1209 W 1St Ave
Spokane, WA 99201
Phone
(509) 995-3388
Fax
(509) 321-4350
NPI assigned
Aug 21, 2018
Sex
Male
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 BA61471962 WA Primary

Addresses

Primary practice location

1209 W 1St Ave
Spokane, WA 99201

Mailing address

PO Box 8344
Spokane, WA 99203
Phone (509) 995-3388

Other identifiers 1

IdentifierTypeStateIssuer
2100815MedicaidWA

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

State licenses

LicenseStateTypeSpecialty
BA61471962WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Northwest Behavior, LLC Behavior Analyst CurrentSince Mar 24, 2024 Accepting new patients

Locations

1209 W 1st Ave
Spokane, WA 99201
Phone (509) 995-3388

Organizations & group practices 1

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1316427057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8344",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99203",
            "telephone_number": "509-995-3388",
            "fax_number": "509-321-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W 1ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99201",
            "telephone_number": "509-995-3388",
            "fax_number": "509-321-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREN",
        "first_name": "TREVOR",
        "credential": "BCB, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61471962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, 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.