NPIMap

Organization Active NPI

Behavior Bridges

  • Behavior Analyst
  • Puyallup, WA
National Provider Identifier
1508237702
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR BRIDGES
Practice address
17404 Meridian E
Suite F125
Puyallup, WA 98375-6234
Phone
(253) 262-3409
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Laura B. O'Rourke, M.S., BCBANPI 1386885804
Title
Executive Director
Phone
(253) 262-3409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH60579014 WA
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

17404 Meridian E
Suite F125
Puyallup, WA 98375-6234

Mailing address

17404 Meridian E
Suite F125
Puyallup, WA 98375-6234
Phone (253) 262-3409

National Provider Directory

National Provider Directory

Locations

17404 Meridian E
Ste F125
Puyallup, WA 98375
Phone (253) 262-3409

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1508237702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 MERIDIAN E",
            "address_2": "SUITE F125",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756234",
            "telephone_number": "253-262-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 MERIDIAN E",
            "address_2": "SUITE F125",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756234",
            "telephone_number": "253-262-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "O'ROURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-262-3409",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60579014",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.