Austin Taylor Donnell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61053568 Issued in WA

Practice address

414 W Bakerview Rd Ste 101
Bellingham, WA 98226-8180

Phone

(360) 738-9500

Fax

(360) 738-9501

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• RWW Home & Community Rehab Services, Inc.

  • Behavior Analyst
  • Bellingham, WA
  • NPI 1952866493
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1689200966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20818 44TH AVE W STE 270",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367709",
            "telephone_number": "425-673-6911",
            "fax_number": "425-712-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W BAKERVIEW RD STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268180",
            "telephone_number": "360-738-9500",
            "fax_number": "360-738-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "AUSTIN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61053568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aba@rehabwithoutwalls.com",
            "affiliation": "N",
            "address_1": "414 W Bakerview Rd Ste 101",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982268180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carly Kaye Domes, PA
• Elizabeth Donaldson
• Maggie Xueying Dong, O.D., M.S.
• Roland XM Donisi
• Hannah Donk, DPT
• Logan Donofrio
• Elizabeth Donovan, LICSW
• Mark S Dooley, M.A.
• Patricia Dorian
• Heather Dorn-Deasy, BCBA

• Behavior Technician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.