Bodhi ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BODHI ABA

Practice address

4842 Johnson Point Rd NE
Olympia, WA 98516-9152

Phone

(520) 429-5502

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Madison MendozaNPI 1578978680

Title

Owner

Phone

(520) 429-5502

Specialties & licenses 1

Addresses

Other names 1

• Bodhi ABA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Mendoza, BCBA

  • Behavior Analyst
  • Olympia, WA
  • NPI 1578978680
  NPD Authorized official

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1851287387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 JOHNSON POINT RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169152",
            "telephone_number": "520-429-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 JOHNSON POINT RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169152",
            "telephone_number": "520-429-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-429-5502"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodhi ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Dawn Bluestein-Rogers, FNP-C
• Bryan Neil Blumer, PA-C
• Harrison A Bly
• Eileen Bochsler, RD
• William Charles Bode, DDS
• Pamela Kay Bodine
• Rosemarie Cilia Bodine I
• Rebecca M Bodle-Shingu, ARNP
• Rodger Dante Bodoia, MD
• Joy Bodwell, O.D.

• Behavior Analyst in Olympia, WA
• Providers in Olympia, 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 12, 2025; 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.