Individual provider Active NPI

Jacquelyn Aimee Van Patten, M.ED., BCBA

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1760296305
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61665411 Issued in WA
Practice address
118 N 35TH St Ste 100
Seattle, WA 98103-8654
Phone
(503) 701-7342
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 BA61665411 WA Primary

Addresses

Primary practice location

118 N 35TH St Ste 100
Seattle, WA 98103-8654

Mailing address

118 N 35TH St Ste 100
Seattle, WA 98103-8654
Phone (206) 617-9942

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BA61665411WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Play Collective Behavior Analyst CurrentSince Sep 3, 2025 Accepting new patients

Locations

118 N 35th St
Ste 100
Seattle, WA 98103
Phone (503) 701-7342

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1760296305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 35TH ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038654",
            "telephone_number": "206-617-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 35TH ST STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038654",
            "telephone_number": "503-701-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PATTEN",
        "first_name": "JACQUELYN",
        "middle_name": "AIMEE",
        "name_prefix": "Ms.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61665411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.