Mycaiah Lynn Berkebile

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15600 Redmond Way Ste 302
Redmond, WA 98052-3862

Phone

(425) 242-0973

NPI assigned

May 8, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1386492155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY STE 302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY STE 302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "425-242-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEBILE",
        "first_name": "MYCAIAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Maree Berg, MA, LMHC, NCC
• Troy Alan Berg, MA
• Wendy Louise Berg, LMHC
• Andrew Ryan Bergman, DPT
• Donna Bergman, MA, LMHC
• Tammie Wegner Berman, PTA
• Michel Leigh Bernotas, R.D.
• Mathias H Berry, D.C.
• Patrick Bertlein
• Kami Lorraine Betker, L.M.P

• Behavior Technician in Redmond, WA
• Providers in Redmond, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.