Mary Katharine Weitering, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61489025 Issued in WA

Practice address

2624 146TH Ave SE
Bellevue, WA 98007-6456

Phone

(425) 417-5021

NPI assigned

Sep 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Katharine McMillan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Lakeside Center for Autism, LLC

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1588802953
  NPD (past)
• Ican America

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508325929
  NPD (past)

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1710356076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 146TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076456",
            "telephone_number": "425-417-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 146TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076456",
            "telephone_number": "425-417-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITERING",
        "first_name": "MARY",
        "middle_name": "KATHARINE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61489025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCMILLAN",
            "middle_name": "KATHARINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Weisbecker, RN
• Karin Andrea Weiser, LPN
• Barry Weiss, M.D.
• Michael W Weiss, SUDP
• Robert M Weissman, MD
• Brooke Rachelle Weitz, ND
• Nicole M Weitzel, LMP
• Jeremy John Welch, D.C.
• Jon E Welch, M. D.
• Mary E Welch, MD

• Behavior Analyst in Bellevue, WA
• Providers in Bellevue, 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 1, 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.