Active NPI
Jaimee Leigh Oberlin, M.ED., BCBA, LBA
- Behavior Analyst
- Kirkland, WA
National Provider Identifier
1831547835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA60771170
- Practice address
- 1003 7TH Ave
Ste. a
Kirkland, WA 98033-5779 - Phone
- (425) 658-3016
- Fax
- (425) 658-3017
- NPI assigned
- May 31, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-16-21989 | ||
| Behavior Analyst | 103K00000X | BA60771170 | WA | Primary |
Addresses
Primary practice location
1003 7TH Ave
Ste. a
Kirkland, WA 98033-5779
Mailing address
1003 7TH Ave
Ste. a
Kirkland, WA 98033-5779
Phone (425) 658-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061304 | Medicaid | WA |
Other names 1
- Jaimee Leigh Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| BA60771170 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cbpi, LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1831547835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 7TH AVE",
"address_2": "STE. A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335779",
"telephone_number": "425-658-3016",
"fax_number": "425-658-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 7TH AVE",
"address_2": "STE. A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335779",
"telephone_number": "425-658-3016",
"fax_number": "425-658-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERLIN",
"first_name": "JAIMEE",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "M.ED., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-16-21989",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA60771170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061304",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIMEE",
"last_name": "JOHNSON",
"middle_name": "LEIGH",
"credential": "M.ED., BCBA, LBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.