Individual provider Active NPI

Ann B Douvier, BCBA, CCC-SLP

  • Behavior Analyst
  • Vashon, WA
National Provider Identifier
1871891838
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5605
Practice address
10421 SW Bank Rd
Unit 1
Vashon, WA 98070-4666
Phone
(206) 713-7168
Fax
(206) 463-9107
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL60134156 WA
Behavior Analyst 103K00000X 1-09-5605 Primary

Addresses

Primary practice location

10421 SW Bank Rd
Unit 1
Vashon, WA 98070-4666

Mailing address

PO Box 1862
Vashon, WA 98070-1862
Phone (206) 713-7168

Other names 1

  • Ann Marie Bowens Former name

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

LicenseStateTypeSpecialty
LL60134156WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1871891838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980701862",
            "telephone_number": "206-713-7168",
            "fax_number": "206-463-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 SW BANK RD",
            "address_2": "UNIT 1",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704666",
            "telephone_number": "206-713-7168",
            "fax_number": "206-463-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUVIER",
        "first_name": "ANN",
        "middle_name": "B",
        "credential": "BCBA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60134156",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-5605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "BOWENS",
            "middle_name": "MARIE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.