Individual provider Active NPI

Karissa Sinclair-Skaggs

  • Behavior Analyst
  • Vancouver, WA
National Provider Identifier
1902389018
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
10225124 Issued in OR
Practice address
8000 NE 13TH Ave
Vancouver, WA 98665-9605
Phone
(360) 984-3131
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OR
Behavior Analyst 103K00000X 10225124 OR Primary

Addresses

Primary practice location

8000 NE 13TH Ave
Vancouver, WA 98665-9605

Mailing address

7658 SW Aloma Way Apt 3
Portland, OR 97223-7938
Phone (541) 505-2572

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
10225124ORMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1902389018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7658 SW ALOMA WAY APT 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237938",
            "telephone_number": "541-505-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659605",
            "telephone_number": "360-984-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR-SKAGGS",
        "first_name": "KARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10225124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.