Austin Farrell Roberts, M.ED, BCBA, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

AB61427616 Issued in WA

Practice address

20818 44TH Ave W Ste 190
Lynnwood, WA 98036-7745

Phone

(425) 673-6908

NPI assigned

Oct 4, 2016

Sex

Male

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1821548645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 56TH AVE W UNIT 4104",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435268",
            "telephone_number": "425-275-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 44TH AVE W STE 190",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367745",
            "telephone_number": "425-673-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AUSTIN",
        "middle_name": "FARRELL",
        "credential": "M.ED, BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG60703536",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "AB61427616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Idalia Rivero
• William Patrick Roach, RN
• Levi Roberson, LMP
• Robert Jun Lee DDS PLLC
• Robert P. Lyle, Jr. Licsw & Associates, Inc., PS
• Dana Michelle Roberts
• Julie Roberts, LMHCA
• Brent M Robinson, DDS
• Cheryl Robinson, R.N.
• Donald William Robinson, DDS

• Behavior Analyst in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.