Individual provider Active NPI

Janelle Joy Deveau, MA, BCBA

  • Behavior Analyst
  • Bellevue, WA
National Provider Identifier
1649802885
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11937328 Issued in WA
Practice address
13333 NE Bel Red Rd Ste 100
Bellevue, WA 98005-2332
Phone
(425) 559-7809
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11937328 WA Primary

Addresses

Primary practice location

13333 NE Bel Red Rd Ste 100
Bellevue, WA 98005-2332

Mailing address

312 Williams Ave N # 2
Renton, WA 98057-5613
Phone (360) 708-5612

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11937328WAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1649802885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WILLIAMS AVE N # 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575613",
            "telephone_number": "360-708-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 NE BEL RED RD STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052332",
            "telephone_number": "425-559-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEAU",
        "first_name": "JANELLE",
        "middle_name": "JOY",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "11937328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.