NPIMap

Organization Active NPI

Black Hills ABA, LLC

  • Behavior Analyst
  • Maple Valley, WA
National Provider Identifier
1972199289
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLACK HILLS ABA, LLC
Practice address
24204 SE 263Rd PL
Maple Valley, WA 98038-7109
Phone
(425) 221-9260
NPI assigned
Dec 21, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Monika Haffner, LBA, BCBANPI 1124499819
Title
Owner
Phone
(425) 221-9260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

24204 SE 263Rd PL
Maple Valley, WA 98038-7109

Mailing address

24204 SE 263Rd PL
Maple Valley, WA 98038-7109
Phone (425) 221-9260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2020.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1972199289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24204 SE 263RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387109",
            "telephone_number": "425-221-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24204 SE 263RD PL",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387109",
            "telephone_number": "425-221-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "HAFFNER",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-221-9260",
        "authorized_official_credential": "LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.