Active NPI
Caleb Staheli Furse, RBT
- Behavior Technician
- Tumwater, WA
National Provider Identifier
1497488308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CBT.CB.61313559
- Practice address
- 1890 Barnes Blvd SW
Tumwater, WA 98512-1435 - Phone
- (360) 915-6868
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CBT.CB.61313559 | WA | Primary |
Addresses
Primary practice location
1890 Barnes Blvd SW
Tumwater, WA 98512-1435
Mailing address
3029 Lindell Rd NE
Olympia, WA 98506-3623
Phone (435) 215-3219
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBT.CB.61313559 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics NW LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Raymond, WA
- NPI 1073864849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1497488308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 LINDELL RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985063623",
"telephone_number": "435-215-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 BARNES BLVD SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985121435",
"telephone_number": "360-915-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURSE",
"first_name": "CALEB",
"middle_name": "STAHELI",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CBT.CB.61313559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.