Organization Active NPI

Rogue ABA Washington LLC

  • Behavior Analyst
  • Tacoma, WA
National Provider Identifier
1629818836
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROGUE ABA WASHINGTON LLC
Doing business as
Rogue ABA
Practice address
1712 6TH Ave Ste 100
Tacoma, WA 98405-3300
Phone
(603) 692-8173
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
CF True
Title
Ceo
Phone
(603) 692-8173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1712 6TH Ave Ste 100
Tacoma, WA 98405-3300

Mailing address

1712 6TH Ave Ste 100
Tacoma, WA 98405-3300
Phone (603) 692-8173

Other names 1

  • Rogue ABA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1629818836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "603-692-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "603-692-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE ABA WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "TRUE",
        "authorized_official_first_name": "CF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-692-8173"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogue ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.