Active NPI
Tara Hixson
- Behavior Analyst
- Lynnwood, WA
National Provider Identifier
1841646734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA61065427
- Practice address
- 19401 40TH Ave W
Lynnwood, WA 98036-4612 - Phone
- (657) 444-9002
- NPI assigned
- May 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CG 60725110 | WA | |
| Behavior Analyst | 103K00000X | BA61065427 | WA | Primary |
Addresses
Primary practice location
19401 40TH Ave W
Lynnwood, WA 98036-4612
Mailing address
2312 3Rd Ave
Unit 204
Seattle, WA 98121-1700
Phone (949) 527-2231
Other practice location 1
3214 W McGraw St
Suite 212
Seattle, WA 98199-3239
Phone (206) 453-4882
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 |
|---|---|---|---|
| BA61065427 | WA | MD | Behavioral Analyst |
| CG 60725110 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps Forward, LLC | Past | Accepting new patients | |
| Patterns Behavioral Services Washington Inc | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Renton, WA
- NPI 1649511171
-
- Community/Behavioral Health Agency
- Lynnwood, WA
- NPI 1336616192
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1841646734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 3RD AVE",
"address_2": "UNIT 204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211700",
"telephone_number": "949-527-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364612",
"telephone_number": "657-444-9002"
}
],
"practiceLocations": [
{
"address_1": "3214 W McGraw St",
"address_2": "Suite 212",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981993239",
"country_code": "US",
"telephone_number": "206-453-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIXSON",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CG 60725110",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA61065427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.