Paul James Mullan, BCBA, CCC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8982 Issued in WA

Practice address

12619 100TH Lane NE
I-143
Kirkland, WA 98034

Phone

(425) 218-5799

NPI assigned

Aug 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cbpi, LLC

  • Behavior Analyst
  • Kirkland, WA
  • NPI 1215347752
  NPD Authorized official
• Cbpi, LLC.

  • Community/Behavioral Health Agency
  • Kirkland, WA
  • NPI 1992054399

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1689007288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 100TH LN NE",
            "address_2": "UNIT I-143",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342868",
            "telephone_number": "425-218-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 100TH LANE NE",
            "address_2": "I-143",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-218-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAN",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "BCBA, CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CL60313566",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-11-8982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mti Physical Therapy Kirkland
• Sharon Beverly Mueller, PA-C
• Connor R Muirhead
• Cotilda Patience Mukandoli
• Monica Nasambu Muliro, LSWAIC
• Chad Mullens
• Rose K Munenge
• Munson and Rude PS
• Boyd Franklin Munson, D.M.D.
• Anne Murawski, PT

• All providers in Kirkland, WA
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.