Individual provider Active NPI

Victoria P Avalos, CBT

  • Behavior Technician
  • Oak Harbor, WA
National Provider Identifier
1366270787
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB61568149 Issued in WA
Practice address
950 SE Regatta Dr # 101
Oak Harbor, WA 98277-5451
Phone
(360) 679-1039
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 CB61568149 WA Primary

Addresses

Primary practice location

950 SE Regatta Dr # 101
Oak Harbor, WA 98277-5451

Mailing address

2209 Heron Dr Apt D
Oak Harbor, WA 98277-4762
Phone (951) 973-2542

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
CB61568149WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Steps CurrentSince Jul 28, 2024 Accepting new patients

Locations

950 SE Regatta Dr
#101
Oak Harbor, WA 98277
Phone (360) 201-8760

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1366270787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 HERON DR APT D",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774762",
            "telephone_number": "951-973-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SE REGATTA DR # 101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775451",
            "telephone_number": "360-679-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "VICTORIA",
        "middle_name": "P",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61568149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.