Bellevue Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BELLEVUE AUTISM CENTER

Practice address

8115 226TH St SW
Edmonds, WA 98026-8267

Phone

(646) 598-7765

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vladimir Kogan

Title

Owner

Phone

(646) 598-7765

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1649992389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 226TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268267",
            "telephone_number": "646-598-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 226TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268267",
            "telephone_number": "646-598-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-598-7765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Beebe
• Karina Beeler, L.M.P
• Stephen P Begert, M.D.
• Kathleen Beil, RPH.
• Bella Wellness, PLLC
• Oliver C Bellevue, MD
• Elizabeth Anne Bellmer, MA, LMHC, CCHP
• Ben Adams Counseling, LLC
• Boyd J Bender, P.T.
• Deonne Jeanette Benedict, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.