Nicole Bideganeta, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

19031 33Rd Ave W Ste 101
Lynnwood, WA 98036-4722

Phone

(206) 313-8840

NPI assigned

Dec 3, 2018

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Able Pediatric Health

  dba Able Health

  • Multi-Specialty Clinic/Center
  • Tukwila, WA
  • NPI 1245728534
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1841760790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364722",
            "telephone_number": "206-313-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Strander Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882914",
            "country_code": "US",
            "telephone_number": "206-313-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDEGANETA",
        "first_name": "NICOLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betterment Care LLC
• Mary Jane Betts, M.A. C.C.C. SLP
• Hannah Alexandra Bevilacqua, DPT
• Varun Srinivas Bhandarkar, MD
• BHC Fairfax Hospital Inc (Branches Lynnwood)
• Big Fat Pregnancy
• Alphonse Bikorimana
• Madison Marie Bingham, MA P
• Sauleiha Bint-Hasan
• Lavonne Joy Bissell, RN

• 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 Jun 8, 2021; 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.