Individual provider Active NPI

Vanessa De la Rosa

  • Behavior Analyst
  • Petaluma, CA
National Provider Identifier
1487332565
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1301 Redwood Way Ste 210
Petaluma, CA 94954-1134
Phone
(707) 340-3475
NPI assigned
Jul 7, 2023
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X WA Primary

Addresses

Primary practice location

1301 Redwood Way Ste 210
Petaluma, CA 94954-1134

Mailing address

18804 E Buckeye Ave
Spokane Valley, WA 99027-9596
Phone (623) 806-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennyfarthing LLC Behavior Analyst CurrentSince Jul 21, 2024 Accepting new patients
Pennyfarthing Applied Behavior Analysis Behavior Technician CurrentSince Jul 21, 2024 Accepting new patients
L.E.a.P.S and Beyond, Inc PastSince Jul 1, 2023 Accepting new patients

Locations

707 W 7th Ave
Ste 200
Spokane, WA 99204
Phone (509) 850-1080

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1487332565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18804 E BUCKEYE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990279596",
            "telephone_number": "623-806-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY STE 210",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541134",
            "telephone_number": "707-340-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.