Raquel Lane Shusette

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

522 W Riverside Ave Ste 4691
Spokane, WA 99201-0580

Phone

(360) 605-0163

Fax

(855) 959-2451

NPI assigned

Sep 20, 2023

Sex

Female

Sole proprietor

No

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

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.

• Family Applied Behavioral Services LLC

  • Behavior Analyst
  • Spokane, WA
  • NPI 1851916456
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1851179899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 BIRDSEYE AVE NE APT 111",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164510",
            "telephone_number": "805-861-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE 4691",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "360-605-0163",
            "fax_number": "855-959-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSETTE",
        "first_name": "RAQUEL",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tova Willet Shultz, CO61186739
• Nikki Shumaker
• Angelique Gabrielle Shumway
• Kodi Alicia-Theresa Shumway, NA
• David William Shurtz, OD
• John K Shuster, M.D.
• Brian J Shute, PHD SLP LMT
• Michelle Shute, M.S. CCC-SLP
• Vitaliy Y Shvachich, AAS, RN
• Kaitlyn Sias

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.