Individual provider Active NPI

Raven T Carter, CBT

  • Behavior Technician
  • Des Moines, WA
National Provider Identifier
1356216667
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB61194564 Issued in WA
Practice address
22021 7TH Ave S Ste 205
Des Moines, WA 98198-6218
Phone
(719) 623-9179
Fax
(253) 354-0039
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CB61194564 WA Primary

Addresses

Primary practice location

22021 7TH Ave S Ste 205
Des Moines, WA 98198-6218

Mailing address

22021 7TH Ave S Ste 205
Des Moines, WA 98198-6218
Phone (719) 623-9179

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
CB61194564WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up ABA, LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

22021 7th Ave S
Ste 205
Des Moines, WA 98198
Phone (425) 246-7038

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1356216667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 7TH AVE S STE 205",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986218",
            "telephone_number": "719-623-9179",
            "fax_number": "253-354-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 7TH AVE S STE 205",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986218",
            "telephone_number": "719-623-9179",
            "fax_number": "253-354-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RAVEN",
        "middle_name": "T",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61194564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.