Aidan Vickers, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4915 25TH Ave NE Ste 202
Seattle, WA 98105-5668

Phone

(206) 830-0299

NPI assigned

Nov 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Engage ABA LLC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1568841542
  NPD Authorized official
• Oasis Autism Services LLC

  • Behavior Analyst
  • Seattle, WA
  • NPI 1740861491
  NPD Authorized official

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1942630199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 25TH AVE NE STE 437",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054183",
            "telephone_number": "206-830-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 25TH AVE NE STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055668",
            "telephone_number": "206-830-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7432 4th Ave NE Apt B",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981155360",
            "country_code": "US",
            "telephone_number": "425-761-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "AIDAN",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-24",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60434510",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Vicente Dominguez
• Nancy Vicente Dominguez
• Michelle Vicente
• Janyce Ruth Vick, LMFT
• Tiyana Vick, LP61343142
• Laurice Samuel Vickers, MD
• Michael Brian Vickers, DPM
• Rebekah Vickery, LMHC
• Vicki Fidler DDS PS
• Eric William Vickrey, P.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.