Active NPI
Joelle Handley
- Behavior Analyst
- Rainier, OR
National Provider Identifier
1861935884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12041580
- Practice address
- 1016 W B St
Rainier, OR 97048-2503 - Phone
- (503) 298-3006
- NPI assigned
- Nov 22, 2016
- Last updated
- May 9, 2020
- 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 Analyst | 103K00000X | 12041580 | OR | Primary |
| Assistant Behavior Analyst | 106E00000X | 103K00000X | WA |
Addresses
Primary practice location
1016 W B St
Rainier, OR 97048-2503
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other practice location 1
8282 28th Ct NE Ste A
Lacey, WA 98516-7162
Phone (360) 915-6868
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 |
|---|---|---|---|
| 12041580 | OR | MD | Behavioral Analyst |
| 103K00000X | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics Northwest | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lacey, WA
- NPI 1396179545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1861935884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 W B ST",
"city": "RAINIER",
"state": "OR",
"postal_code": "970482503",
"telephone_number": "503-298-3006"
}
],
"practiceLocations": [
{
"address_1": "8282 28th Ct NE Ste A",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985167162",
"country_code": "US",
"telephone_number": "360-915-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANDLEY",
"first_name": "JOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "12041580",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "WA",
"license": "103K00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rainier, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.