Hailey Groom

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

AB61246187 Issued in WA

Practice address

1720 N Hamilton St
Spokane, WA 99207-2474

Phone

(866) 240-0808

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• L.E.a.P.S and Beyond, Inc

  • Community/Behavioral Health Agency
  • Oak Harbor, WA
  • NPI 1538504592
  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1578038253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N HAMILTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072474",
            "telephone_number": "866-240-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N HAMILTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072474",
            "telephone_number": "866-240-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOM",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61246187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Grisso, PA-C
• Dominique Renee Groat
• Jay Groepper, MD
• Kassidee Grogan
• Abigail Gromlich
• Jacobi Groomer
• Christy Kay Grorud
• Elizabeth Ann Grosen, M.D.
• Tessa Lynn Groshoff, M.A., LMHC
• Tina Ann Groskreutz

• Assistant Behavior Analyst in Spokane, WA
• Providers in Spokane, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.