Nichol Eberle

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CG60525497 Issued in WA

Practice address

3214 W McGraw St
Ste 212
Seattle, WA 98199-3239

Phone

(206) 453-4882

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nichol Gepner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1912376559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16042 143RD AVE SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979169",
            "telephone_number": "425-760-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 W MCGRAW ST",
            "address_2": "STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993239",
            "telephone_number": "206-453-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "NICHOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60525497",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG60525497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOL",
            "last_name": "GEPNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry Eben, PH.D.
• Andi Eberhardt, LMHCA
• Karl Martin John Eberhardt, DDS
• Alexa Eberle, MD
• Alexandra Christine Eberle
• Lisa Eberly
• Kim Hulali Ebert, OTR/L
• Danielle Jeanne Eble, MD
• Linda E Eblen, MA
• Erzik A Ebrahim

• Behavior Technician in Seattle, WA
• Providers in Seattle, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.