Aliese Lynn Poole

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63498 Issued in WA

Practice address

7935 Lake Ballinger Way
Edmonds, WA 98026-9166

Phone

(206) 717-4770

NPI assigned

Mar 23, 2018

Sex

Female

Sole proprietor

No

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1760987697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 89TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345385",
            "telephone_number": "206-816-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 LAKE BALLINGER WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269166",
            "telephone_number": "206-717-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ALIESE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-23-63498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul Pitre, PA-C
• Alicia Marie Placko, ARNP, DNP
• Viktoriia Plisenko, LMHC
• Vince Poffenroth, RRT
• Tony D. Pool, O.D.
• Hannah Pope
• Claire Popke
• Alyssa Ryan Porcaro, LMT
• Danielle C Porter, LMHCA, SUDPT
• Charles Stuart Potrykus, MA

• Behavior Analyst in Edmonds, WA
• Providers in Edmonds, 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 12, 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.