Active NPI
Michelle Weible, BCBA, LBA
- Behavior Analyst
- Bothell, WA
National Provider Identifier
1760812713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA60768335
- Practice address
- 18311 Bothell Everett Hwy Ste 260
Bothell, WA 98012-5233 - Phone
- (206) 437-5412
- NPI assigned
- Nov 12, 2013
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | BA60768335 | WA | Primary |
Addresses
Primary practice location
18311 Bothell Everett Hwy Ste 260
Bothell, WA 98012-5233
Mailing address
2101 84TH Ave NE
Lake Stevens, WA 98258-6478
Phone (607) 280-2550
Other practice location 1
6505 218th St SW Ste 9
Mountlake Terrace, WA 98043-2135
Phone (206) 365-0809
Other practice location 2
1570 Wilmington Dr Ste 220
DuPont, WA 98327-8773
Phone (206) 453-4882
Other practice location 3
10015 Lakewood Dr SW
Lakewood, WA 98499-3838
Phone (855) 223-7123
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
| License | State | Type | Specialty |
|---|---|---|---|
| BA60768335 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1760812713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 84TH AVE NE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982586478",
"telephone_number": "607-280-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18311 BOTHELL EVERETT HWY STE 260",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980125233",
"telephone_number": "206-437-5412"
}
],
"practiceLocations": [
{
"address_1": "6505 218th St SW Ste 9",
"address_purpose": "LOCATION",
"city": "Mountlake Terrace",
"state": "WA",
"postal_code": "980432135",
"country_code": "US",
"telephone_number": "206-365-0809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1570 Wilmington Dr Ste 220",
"address_purpose": "LOCATION",
"city": "DuPont",
"state": "WA",
"postal_code": "983278773",
"country_code": "US",
"telephone_number": "206-453-4882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10015 Lakewood Dr SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984993838",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIBLE",
"first_name": "MICHELLE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA60768335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.