Individual provider Active NPI

Sofya Hadley

  • Behavior Analyst
  • Bothell, WA
National Provider Identifier
1902312481
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-61371565 Issued in WA
Practice address
19919 Bartlett Rd
Bothell, WA 98012-9645
Phone
(628) 250-7500
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-61371565 WA Primary
Behavior Analyst 103K00000X 10216942 OR
Behavior Technician 106S00000X 10185344 OR

Addresses

Primary practice location

19919 Bartlett Rd
Bothell, WA 98012-9645

Mailing address

3000 El Camino Real BLDG 4
Palo Alto, CA 94306-2100

Other practice location 1

3000 El Camino Real Bldg 4
Palo Alto, CA 94306-2100
Phone (408) 637-7762

Other names 1

  • Sofya Dybal 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
10216942ORMDBehavioral Analyst
BA-61371565WAMDBehavioral Analyst
10185344ORMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise ABA of Washington LLC Behavior Analyst CurrentSince Nov 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1902312481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EL CAMINO REAL BLDG 4",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19919 BARTLETT RD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980129645",
            "telephone_number": "628-250-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 El Camino Real Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943062100",
            "country_code": "US",
            "telephone_number": "408-637-7762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "SOFYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA-61371565",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10216942",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "10185344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFYA",
            "last_name": "DYBAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.