Kayla Ellison, M.ED., BCBA
Individual provider Active NPI Behavior Analyst · Newcastle, WA
NPI 1376948455 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1376948455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- UBI - 603 295 703 (WA)
- Practice address
- 7412 Newcastle Golf Club Rd
Newcastle, WA 98059-9141 - Phone
- (425) 954-7243
- NPI assigned
- Oct 30, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UBI - 603 295 703 | WA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | UBI - 603 295 703 | WA | Yes |
Addresses
Primary practice location
7412 Newcastle Golf Club Rd
Newcastle, WA 98059-9141
Mailing address
8606 35TH Ave NE Apt 118
Seattle, WA 98115-3678
Phone (253) 590-6659
Other names
- Kayla Larson
Other providers in Newcastle, WA
- Jesus O Dela Torre Hernandez
- Jauna Rae Demott
- Aditi Dhar
- David Asher Drimmer
- Julie Dunnwald
- Brianna Noelle Elrod
- Erica Yang, DDS, PLLC
- Erin Heintzelman Therapy, LLC
- Arthur G Faulmann III
- Kristy Marie Fisher
All providers in Newcastle, WA · Behavior Analyst in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.