Individual provider Active NPI

Maria Elizabeth Flores, CBT

  • Behavior Technician
  • Oak Harbor, WA
National Provider Identifier
1376167775
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
61052432
Practice address
231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200
Phone
(442) 234-8427
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 462688593 WA
Behavior Technician 106S00000X 61052432 WA
Behavior Technician 106S00000X 61052432 Primary

Addresses

Primary practice location

231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200

Mailing address

231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200
Phone (442) 234-8427

Other identifiers 2

IdentifierTypeStateIssuer
1188231OtherWALEAPS AND BEYOND
F5402344MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.leapsandbeyond.com Health Information Exchange (HIE)

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
462688593WAMDBehavior Technician
61052432WAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1376167775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR STE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "442-234-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR STE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "442-234-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "credential": "CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "462688593",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61052432",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "61052432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEAPS AND BEYOND",
            "identifier": "1188231",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F5402344",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.leapsandbeyond.com",
            "affiliation": "N",
            "endpointDescription": "Url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "231 SE Barrington Dr Ste 203",
            "city": "Oak Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982773200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 1, 2020; 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.