Michael McMullen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CB60996183 Issued in WA

Practice address

903 144TH Street CT S
Tacoma, WA 98444-3337

Phone

(253) 503-9545

NPI assigned

Aug 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1932719499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 144TH STREET CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443337",
            "telephone_number": "253-503-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 144TH STREET CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443337",
            "telephone_number": "253-503-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CB60996183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie McMillan, ARNP, CPNP-AC
• Susan Michelle McMinn, ARNP
• Catherine Lorraine McMonigle, LMFT
• Ryan James McMonigle, MD, PHD
• Brian Fredrick McMorris
• Dajana McNabb, RN
• J. Timothy McNair, MD
• Ann McNamara-Thull, LMP
• Liane McNaughton
• Marse L McNaughton, MD

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.