Active NPI
Malia Van-Frances Chase
- Behavior Analyst
- Everett, WA
National Provider Identifier
1811502032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA61605557
- Practice address
- 900 Pacific Ave FL 5
Everett, WA 98201-4168 - Phone
- (425) 258-7311
- NPI assigned
- Sep 14, 2020
- 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 | BA61605557 | WA | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
900 Pacific Ave FL 5
Everett, WA 98201-4168
Mailing address
PO Box 3369
Portland, OR 97208-3369
Phone (866) 747-2455
Other practice location 1
18311 Bothel-Everett Hwy
Suite 260
Bothell, WA, WA 98012
Phone (206) 437-5412
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 |
|---|---|---|---|
| BA61605557 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1811502032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3369",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083369",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE FL 5",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014168",
"telephone_number": "425-258-7311"
}
],
"practiceLocations": [
{
"address_1": "18311 Bothel-Everett Hwy",
"address_2": "Suite 260",
"address_purpose": "LOCATION",
"city": "Bothell, WA",
"state": "WA",
"postal_code": "98012",
"country_code": "US",
"telephone_number": "206-437-5412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASE",
"first_name": "MALIA",
"middle_name": "VAN-FRANCES",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA61605557",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.