Abigail G Humphrey

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56331 Issued in OH

Practice address

19909 Ballinger Way NE
Shoreline, WA 98155-1257

Phone

(206) 717-4770

NPI assigned

Mar 18, 2019

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1750840724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DEXTER AVE N APT 432",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094388",
            "telephone_number": "330-760-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19909 BALLINGER WAY NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551257",
            "telephone_number": "206-717-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 194th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364613",
            "country_code": "US",
            "telephone_number": "425-426-2761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ABIGAIL",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-21-56331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Hsieh, D.M.D.
• Jack Hsu, PHARMD
• Mary Margaret Xavier Rose Hubert
• Geneva Celeste Hughes, LMHCA
• Philippe Pierre Hujoel, DDS
• Sophia Z Humphreys, PHARM.D.
• Candace L Hunsucker
• Julie Marie Hunt
• Nancy Huntamer, LMP
• Maryknoll P Hunter, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.