Individual provider Active NPI

Tonya G Evans, M ED. BCBA

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1346565223
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3378 Issued in WA
Practice address
116 12TH Ave E
Seattle, WA 98102-5804
Phone
(206) 257-0946
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 602748388 WA
Behavior Analyst 103K00000X 1-07-3378 WA Primary

Addresses

Primary practice location

116 12TH Ave E
Seattle, WA 98102-5804

Mailing address

116 12TH Ave E
Seattle, WA 98102-5804
Phone (206) 257-0946

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
602748388WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Moments 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1346565223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 12TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025804",
            "telephone_number": "206-257-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 12TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025804",
            "telephone_number": "206-257-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TONYA",
        "middle_name": "G",
        "credential": "M ED. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "602748388",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-07-3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.