Bethany Lynn Palmer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61079054 Issued in WA

Practice address

528 E Spokane Falls Blvd Ste 13-14
Spokane, WA 99202-5050

Phone

(509) 999-5657

Fax

(877) 376-3335

NPI assigned

Oct 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soar Behavior Services

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1962862615
  NPD (past)

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356892541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 14",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025081",
            "telephone_number": "509-328-1582",
            "fax_number": "877-376-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 13-14",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025050",
            "telephone_number": "509-999-5657",
            "fax_number": "877-376-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61079054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BA61079054",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Spokane",
            "affiliation": "Y",
            "affiliationName": "Northwest Autism Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Spokane",
            "address_1": "528 E Spokane Falls Blvd Ste 13-14",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992025050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krishnachaitanya Reddy Pallamala, MD
• Michael A Palm-Bledsoe, BA
• Ami Christine Palmanteer
• Amanda Palmen
• Amia Rose Palmer
• Crystal Rose Palmer, APRN
• Darcy Lou Palmer, LMT
• Deanette Lynne Palmer, PHD
• Erika Rosaria Palmer
• John Gary Palmer, DDS

• Behavior Analyst in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.