Active NPI
Victoria Jane Frescura, M.S., BCBA, LBA
- Behavior Analyst
- Bellevue, WA
National Provider Identifier
1346613882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2015039628
- Practice address
- 14205 SE 36TH St Ste 101
Bellevue, WA 98006-1596 - Phone
- (510) 268-8120
- NPI assigned
- Nov 5, 2015
- Last updated
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2015039628 | MO | Primary |
Addresses
Primary practice location
14205 SE 36TH St Ste 101
Bellevue, WA 98006-1596
Mailing address
1333 Shore District Dr Apt 1327
Austin, TX 78741-1309
Phone (217) 741-1374
Other practice location 1
373 S Willow St
Suite 266
Manchester, NH 03103-5751
Phone (877) 315-8080
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015039628 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Reinforcement ABA Therapy Inc. | Behavior Analyst | Past | Accepting new patients |
| Positive Reinforcement Behavior Therapy, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Manchester, NH
- NPI 1073959128
Behavior Analyst
-
- Behavior Analyst
- Manchester, NH
- NPI 1801425699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1346613882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 SHORE DISTRICT DR APT 1327",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787411309",
"telephone_number": "217-741-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST STE 101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061596",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [
{
"address_1": "373 S Willow St",
"address_2": "Suite 266",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031035751",
"country_code": "US",
"telephone_number": "877-315-8080",
"fax_number": "877-345-4009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRESCURA",
"first_name": "VICTORIA",
"middle_name": "JANE",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2015039628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.