Organization Active NPI

Ignite Developmental Solutions, LLC

  • Behavior Analyst
  • Burke, VA
National Provider Identifier
1396222956
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IGNITE DEVELOPMENTAL SOLUTIONS, LLC
Practice address
5401 Duxford PL
Burke, VA 22015-1719
Phone
(206) 499-7038
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Nicole Bowns-Yepez, M.ED., BCBANPI 1720444003
Title
Member
Phone
(206) 499-7038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5401 Duxford PL
Burke, VA 22015-1719

Mailing address

5401 Duxford PL
Burke, VA 22015-1719

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1396222956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 DUXFORD PL",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 DUXFORD PL",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151719",
            "telephone_number": "206-499-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE DEVELOPMENTAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "BOWNS-YEPEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-499-7038",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.