Individual provider Active NPI

Danielle Michaels, BCBA

  • Behavior Analyst
  • Tacoma, WA
National Provider Identifier
1821687468
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51521 Issued in WA
Practice address
748 Market St # 157
Tacoma, WA 98402-3737
Phone
(253) 325-4161
NPI assigned
Jan 17, 2021
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-51521 WA Primary
Behavior Analyst 103K00000X BA61204959 WA
Assistant Behavior Analyst 106E00000X LABA.AB.61136268 WA
Behavior Technician 106S00000X CB61089152 WA
Behavior Technician 106S00000X RBT-19-109485 WA

Addresses

Primary practice location

748 Market St # 157
Tacoma, WA 98402-3737

Mailing address

84 23Rd Ave
Milton, WA 98354-9346
Phone (253) 921-6009

Other practice location 1

84 23rd Ave
Milton, WA 98354-9346
Phone (253) 921-6009

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
BA61204959WAMDBehavioral Analyst
LABA.AB.61136268WAMDAssistant Behavior Analyst
CB61089152WAMDBehavior Technician
RBT-19-109485WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Wise Behavioral Therapies LLC Behavior Analyst CurrentSince Feb 1, 2022 Accepting new patients

Locations

748 Market St
#157
Tacoma, WA 98402
Phone (253) 235-9242

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1821687468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 23RD AVE",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549346",
            "telephone_number": "253-921-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MARKET ST # 157",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023737",
            "telephone_number": "253-325-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WA",
            "postal_code": "983549346",
            "country_code": "US",
            "telephone_number": "253-921-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-21-51521",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61204959",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "LABA.AB.61136268",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61089152",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-19-109485",
            "primary": false
        }
    ],
    "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 Dec 11, 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.