Jordan Jay Slate

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

AB61473252 Issued in WA

Practice address

18422 103Rd Ave NE
Bothell, WA 98011-3410

Phone

(425) 949-0801

NPI assigned

Jan 11, 2021

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Behavior Place

  • Behavior Analyst
  • Bothell, WA
  • NPI 1902253388
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1447849831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 127TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086516",
            "telephone_number": "425-248-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18422 103RD AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113410",
            "telephone_number": "425-949-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19204 N Creek Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980118009",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATE",
        "first_name": "JORDAN",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61473252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Simmons, PSYD
• Michael Lawrence Simon, LMP
• Katherine L Simonpietri
• Sameen Singh, DMD
• Lakshmi Sithambaram, LMHCA
• Nancy Sleeth, L.M.P
• James Brian Slusher Sr., CDPT
• Cheryl Anne Smith, PHYSICAL THERAPIST
• Heather Claire Smith
• Lindsey Smith, LMP

• Assistant Behavior Analyst in Bothell, WA
• Providers in Bothell, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.