Individual provider Active NPI

Faye Victoria Gazabat, BCBA, LBA

  • Behavior Analyst
  • Port Orchard, WA
National Provider Identifier
1932755824
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA61370580 Issued in WA
Practice address
13765 Vintage Dr SW
Port Orchard, WA 98367-7391
Phone
(253) 970-2414
NPI assigned
Aug 15, 2019
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA61370580 WA Primary

Addresses

Primary practice location

13765 Vintage Dr SW
Port Orchard, WA 98367-7391

Mailing address

9711 Crescent Valley Dr NW
Gig Harbor, WA 98332-7555
Phone (817) 454-2841

Other identifiers 1

IdentifierTypeStateIssuer
BA61370580OtherWASTATE LICENSE

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
BA61370580WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Behavior Consultants, LLC Behavior Analyst CurrentSince Oct 23, 2022 Accepting new patients
North Star Behavior Consultants LLC Behavior Technician PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1932755824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 CRESCENT VALLEY DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327555",
            "telephone_number": "817-454-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13765 VINTAGE DR SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677391",
            "telephone_number": "253-970-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZABAT",
        "first_name": "FAYE",
        "middle_name": "VICTORIA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61370580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "BA61370580",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.