Active NPI
Anyssa De Vera
- Behavior Analyst
- Ridgefield, WA
National Provider Identifier
1316556301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2348 S Trail View CT
Ridgefield, WA 98642-2805 - Phone
- (360) 953-1247
- Fax
- (888) 261-6694
- NPI assigned
- Jul 27, 2020
- Last updated
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Assistant Behavior Analyst | 106E00000X | NU | ||
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
2348 S Trail View CT
Ridgefield, WA 98642-2805
Mailing address
2348 S Trail View CT
Ridgefield, WA 98642-2805
Phone (360) 953-1247
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5Codys LLC | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba skipping stones behavioral learning center
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1689243578
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1316556301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 S TRAIL VIEW CT",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986422805",
"telephone_number": "360-953-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 S TRAIL VIEW CT",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986422805",
"telephone_number": "360-953-1247",
"fax_number": "888-261-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERA",
"first_name": "ANYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield, WA
- Samantha Christine Cunningham, LMHC, LPC
- Cynthia D Lehnertz DMD PLLC
- Cynthia Darr, SUDPT
- Dawn Gosney
- Zoralei Dayley, DPT
- Jarred Gregory Degree
- Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC
- Daniel A Derevyanchuk, CRNA
- Kenneth DO, DDS
- Dr. Drew Morgan, DC (Hands With Heart Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.