Active NPI
Cassandra Marie Anderson, BCBA
- Behavior Analyst
- Mililani, HI
National Provider Identifier
1982276648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-894
- Practice address
- 100 Kahelu Ave Ste 112
Mililani, HI 96789-3913 - Phone
- (808) 625-3000
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | WA | ||
| Behavior Analyst | 103K00000X | BA-894 | HI | Primary |
Addresses
Primary practice location
100 Kahelu Ave Ste 112
Mililani, HI 96789-3913
Mailing address
15808 Bear Creek
Apt. 602
Redmond, WA 98052
Phone (612) 447-2958
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
| License | State | Type | Specialty |
|---|---|---|---|
| BA-894 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1982276648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15808 BEAR CREEK",
"address_2": "APT. 602",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "612-447-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KAHELU AVE STE 112",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893913",
"telephone_number": "808-625-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CASSANDRA",
"middle_name": "MARIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.