Abby Vanderkooi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-229393 Issued in WA

Practice address

6130 Aquarius Ave
Ferndale, WA 98248-9243

Phone

(360) 684-4566

Fax

(360) 326-2205

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Balanced Behavior ABA, LLC.

  • Community/Behavioral Health Agency
  • Ferndale, WA
  • NPI 1972171858
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1821703299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S STATE ST APT 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 AQUARIUS AVE",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489243",
            "telephone_number": "360-684-4566",
            "fax_number": "360-326-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 S State St Apt 104",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982256143",
            "country_code": "US",
            "telephone_number": "616-540-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERKOOI",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-22-229393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.balancedbehavioraba.com",
            "affiliation": "Y",
            "affiliationName": "Balanced Behavior ABA, LLC.",
            "address_1": "6130 Aquarius Ave",
            "city": "Ferndale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982489243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Khon Truong
• Rich Allan Ullsmith, DMD
• Unity Care Northwest
• Unity Care Northwest
• Margo Elena Vander Woude, COTA/L
• Vision Plus Inside Ferndale Haggen
• Linh T Vu, D.D.S
• Josephine Waldner, LMT
• Walgreen Co
• Brook Edward Walker, O.D.

• Behavior Technician in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.