Addie Colliers

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CG.60537526 Issued in WA

Practice address

5436 232ND Ave SE
Issaquah, WA 98029-6220

Phone

(206) 380-3009

NPI assigned

Mar 4, 2016

Last updated

Mar 4, 2016By 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

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

• Eastside Social Skills Therapy LLC

  • Preferred Provider Organization
  • Issaquah, WA
  • NPI 1659765816
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1700246543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 118TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980584662",
            "telephone_number": "425-444-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 232ND AVE SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296220",
            "telephone_number": "206-380-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIERS",
        "first_name": "ADDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG.60537526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Cohn, M.A.T., CCC-S
• Leigh Anne Colbert, M.A. CCC-SLP
• Cody Cole, LMT
• Kathryn Cole
• Kristin Cole, PT, DPT
• Allison Colson
• Corey Colwell-Lipson, MA, ATR-BC
• Marcus Colyer, M.D.
• Complete Facility Supply, LLC
• Tonya L Comstock, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.