Gustavo Estrada

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

WDL2BS4G013B Issued in WA

Practice address

246 N Mission St
Wenatchee, WA 98801-2004

Phone

(509) 293-8116

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1639832116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MAPLE ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011419",
            "telephone_number": "509-393-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012004",
            "telephone_number": "509-293-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "GUSTAVO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "WDL2BS4G013B",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "WDL2BS4G013B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Michelle Esper, ARNP, FNP-BC
• Alexa Dallana Espindola
• Jacob Espinoza, MSOM, SRHM-CP, RPSGT
• Rose Espinoza, CBT
• Abbie M Estep, LBA, BCBA
• Stephanie Marie Etherington, RD
• James William Ethier, M.D.
• Stephen Larue Ettinger, MD
• Thomas B Ettinger, MD
• Itzel Evans-Ramirez, SUDPT

• Behavior Analyst in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.