Individual provider Active NPI

Gabrielle Anjelica Gersten, BCBA, LBA, M.ED

  • Behavior Analyst
  • Tacoma, WA
National Provider Identifier
1790250405
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
61346593 Issued in WA
Practice address
3704 N 35TH St
Tacoma, WA 98407-6033
Phone
(206) 307-2725
NPI assigned
Oct 9, 2018
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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
Behavior Analyst 103K00000X 61346593 WA Primary

Addresses

Primary practice location

3704 N 35TH St
Tacoma, WA 98407-6033

Mailing address

7030 Earl Ave NW
Seattle, WA 98117-5939
Phone (206) 307-2725

Other practice location 1

7030 Earl Ave NW
Seattle, WA 98117-5939
Phone (206) 307-2725

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
61346593WAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1790250405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 EARL AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175939",
            "telephone_number": "206-307-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 N 35TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076033",
            "telephone_number": "206-307-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7030 Earl Ave NW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981175939",
            "country_code": "US",
            "telephone_number": "206-307-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSTEN",
        "first_name": "GABRIELLE",
        "middle_name": "ANJELICA",
        "name_prefix": "Ms.",
        "credential": "BCBA, LBA, M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "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": "61346593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.