Individual provider Active NPI

Kathryn Costello Wheeler

  • Behavior Technician
  • Vancouver, WA
National Provider Identifier
1508755372
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9901 NE 7TH Ave Ste C116
Vancouver, WA 98685-4528
Phone
(360) 571-2432
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9901 NE 7TH Ave Ste C116
Vancouver, WA 98685-4528

Mailing address

5016 NE 22ND Ave
Vancouver, WA 98663-1344
Phone (971) 601-5439

Other practice location 1

996 Royal Marco Way
Marco Island, FL 34145-1829
Phone (310) 699-4229

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

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1508755372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 NE 22ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631344",
            "telephone_number": "971-601-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE STE C116",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854528",
            "telephone_number": "360-571-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 Royal Marco Way",
            "address_purpose": "LOCATION",
            "city": "Marco Island",
            "state": "FL",
            "postal_code": "341451829",
            "country_code": "US",
            "telephone_number": "310-699-4229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KATHRYN",
        "middle_name": "COSTELLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.