Connor Youngren

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61382212 Issued in WA

Practice address

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

Phone

(425) 712-0802

Fax

(425) 712-0641

NPI assigned

Jul 7, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1730867912",
    "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"
        },
        {
            "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": "425-712-0802",
            "fax_number": "425-712-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGREN",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61382212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Young, DDS
• Karen Marie Young, MD
• Kristy Young, RD
• Spencer M Young, O.D.
• Lindsey Youngquist, MD
• Christina M Ysaguirre-Boersma, BA
• Esmeralda Yzaguirre
• Melanie Lyn Zabel, M.S.
• Benjamin Thomas Zabriskie, LMP
• Zachary J Cargill DMD PS (Creekside Dental Care)

• 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 Jul 7, 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.