Liisa Marlene Podosek, BCBA/LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA60905336 Issued in WA

Practice address

19204 N Creek Pkwy
Building 2 Ste 110
Bothell, WA 98011-8009

Phone

(818) 241-6780

Fax

(818) 241-6853

NPI assigned

Jan 19, 2016

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxim Healthcare Services Inc.

  • Community/Behavioral Health Agency
  • Mountlake Terrace, WA
  • NPI 1477051993
  NPD (past)
• Maxim Healthcare Services, Inc.

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1932206380
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1467819623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23316 32ND AVE W",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368206",
            "telephone_number": "425-941-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19204 N CREEK PKWY",
            "address_2": "BUILDING 2 STE 110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118009",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Cornwall Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254648",
            "country_code": "US",
            "telephone_number": "360-305-3275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 244th St SW # 400",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "98043",
            "country_code": "US",
            "telephone_number": "425-245-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODOSEK",
        "first_name": "LIISA",
        "middle_name": "MARLENE",
        "credential": "BCBA/LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60905336",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB60770380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plant Trekker PLLC (Pendleton Family Health)
• Brian Platner
• Theresa A Platz, M.D.
• Playful Pathways Speech Therapy PLLC
• Jerilyn D Pleticha, LMP
• Chelsea Kai Polk
• Caroline Ann Pomada, SUDPT
• Justin Scott Poole, PHARMD
• Christie Posey, L.M.P.
• Alison Lyndsey Potter, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.