Individual provider Active NPI

Susan Ann Sywulka

  • Behavior Analyst
  • Bellingham, WA
National Provider Identifier
1700638772
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61528423 Issued in WA
Practice address
410 W Bakerview Rd SPC 129
Bellingham, WA 98226-8184
Phone
(360) 684-4566
Fax
(360) 326-2205
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA61528423 WA Primary

Addresses

Primary practice location

410 W Bakerview Rd SPC 129
Bellingham, WA 98226-8184

Mailing address

410 W Bakerview Rd SPC 129
Bellingham, WA 98226-8184
Phone (360) 684-4566

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

LicenseStateTypeSpecialty
BA61528423WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Behavior ABA, LLC. CurrentSince Apr 9, 2024 Accepting new patients

Locations

410 W Bakerview Rd
Ste 110129
Bellingham, WA 98226

410 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 255-8260

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1700638772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W BAKERVIEW RD SPC 129",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268184",
            "telephone_number": "360-684-4566",
            "fax_number": "360-326-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BAKERVIEW RD SPC 129",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268184",
            "telephone_number": "360-684-4566",
            "fax_number": "360-326-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYWULKA",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61528423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.