Calvin Pelkola, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

61155911 Issued in WA

Practice address

18422 103Rd Ave NE
Bothell, WA 98011-3410

Phone

(425) 949-0801

NPI assigned

Sep 20, 2021

Sex

Male

Sole proprietor

No

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

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.

• The Behavior Place

  • Behavior Analyst
  • Bothell, WA
  • NPI 1902253388
  NPD
• The Behavior Placellc

  • Behavior Analyst
  • King George, VA
  • NPI 1013622554
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1992475982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18422 103RD AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18422 103RD AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113410",
            "telephone_number": "425-949-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKOLA",
        "first_name": "CALVIN",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61155911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Pebles
• Tatyana B Peck, PA-C
• Pediatric Associates, Inc., Dba Allegro Pediatrics
• Peixi Liao Professional Services
• Peixi Liao PS
• Audra Pellegrini
• Chelsea Anastasia Pello, RN
• Haley Alane Pemble, BS, CBT
• Pendleton Family Health PLLC
• James E Pendleton, N.D.

• Behavior Technician in Bothell, WA
• Providers in Bothell, WA by specialty
• Behavior Technician in Washington

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