Active NPI
Leslie Penfold
- Assistant Behavior Analyst
- Seattle, WA
National Provider Identifier
1659819118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- CG60732858
- Practice address
- 3214 W McGraw St
Ste 212
Seattle, WA 98199-3239 - Phone
- (206) 453-4882
- NPI assigned
- Feb 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | CG60732858 | WA | Primary |
Addresses
Primary practice location
3214 W McGraw St
Ste 212
Seattle, WA 98199-3239
Mailing address
23427 SE 243Rd PL
Maple Valley, WA 98038-5268
Phone (206) 910-3410
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60732858 | WA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486252800000",
"number": "1659819118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23427 SE 243RD PL",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980385268",
"telephone_number": "206-910-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 W MCGRAW ST",
"address_2": "STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981993239",
"telephone_number": "206-453-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENFOLD",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-05",
"last_updated": "2017-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "WA",
"license": "CG60732858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.