Organization Active NPI

Campfire ABA

  • Behavior Analyst
  • Olympia, WA
National Provider Identifier
1447948567
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CAMPFIRE ABA
Practice address
9211 Windsor LN NE # G102
Olympia, WA 98516-5974
Phone
(803) 873-1920
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Veronica McNeal, BCBA
Title
Consultant
Phone
(803) 873-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9211 Windsor LN NE # G102
Olympia, WA 98516-5974

Mailing address

9211 Windsor LN NE # G102
Olympia, WA 98516-5974
Phone (803) 873-1920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1447948567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 WINDSOR LN NE # G102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165974",
            "telephone_number": "803-873-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 WINDSOR LN NE # G102",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165974",
            "telephone_number": "803-873-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPFIRE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "803-873-1920",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.