Korey Micah Jean Cecsarini

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

18422 103Rd Ave NE
Bothell, WA 98011-3410

Phone

(425) 949-0801

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Behavior Place

  • Behavior Analyst
  • Bothell, WA
  • NPI 1902253388
  NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1689369522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 4TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583304",
            "telephone_number": "425-923-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18422 103RD AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113410",
            "telephone_number": "425-949-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECSARINI",
        "first_name": "KOREY",
        "middle_name": "MICAH JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean K Caswell, PT
• Michelle Marie Caulder
• Joshua Vincent Cavaleri
• Erin Cazel
• Kara Cecil, P.T.
• Karen Cecilia Celis
• Cayleigh Ann Celli
• Jennifer Celms, R.N.
• Center for Assessment & Therapy Services PS
• Center for Human Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.