Individual provider Active NPI

Clarissa Fe Rambayon O'Francia, CBT, LABA

  • Assistant Behavior Analyst
  • Mountlake Terrace, WA
National Provider Identifier
1780331843
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
AB61369521 Issued in WA
Practice address
24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043-5459
Phone
(425) 245-9940
NPI assigned
Mar 8, 2022
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CB61026627 WA
Assistant Behavior Analyst 106E00000X AB61369521 WA Primary

Addresses

Primary practice location

24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043-5459

Mailing address

950 Broadway Ste 301
Tacoma, WA 98402-4454
Phone (253) 292-4354

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

LicenseStateTypeSpecialty
AB61369521WAMDAssistant Behavior Analyst
CB61026627WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Healthcare Services, Inc. PastSince Mar 13, 2022 Accepting new patients
Maxim Healthcare Services Inc. PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1780331843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BROADWAY STE 301",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024454",
            "telephone_number": "253-292-4354",
            "fax_number": "855-373-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24120 VAN RY BLVD STE 400",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435459",
            "telephone_number": "425-245-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FRANCIA",
        "first_name": "CLARISSA FE",
        "middle_name": "RAMBAYON",
        "name_prefix": "Miss",
        "credential": "CBT, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61026627",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61369521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.