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Active NPI 1396553954 Organization (Entity Type 2)

Penny Williams

Behavior Analyst • Bothell, WA

About Penny Williams NPI 1396553954 Summary

Penny Williams is a verified healthcare organization specializing in Behavior Analyst operating in Bothell, WA. Located at 22702 30TH CT SE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1396553954.

Administrative operations and authorized compliance are overseen by Penny Williams (Bcba Lba).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

22702 30th Ct Se

Bothell, WA 980214214

Telephone 4257708107

Authorized Official Information

Authorized Contact Name

Penny Williams , BCBA LBA

Title / Role

Bcba Lba

Official Telephone

4257708107

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked

Lindsey English , CBT NPI 1003624552

Behavior Technician

Bothell, WA

View Practitioner Profile →

Vincent Chhean NPI 1467260919

Behavior Technician

Bothell, WA

View Practitioner Profile →

Julio Melendez NPI 1649088196

Behavior Technician

Bothell, WA

View Practitioner Profile →

Penny Williams , MED, BCBA NPI 1871970905

Behavior Analyst

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active December 27, 2024

NPI status registered as active in NPPES database

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Updated Practice Location December 27, 2024

Registered at 22702 30TH CT SE, BOTHELL, WA 980214214 (Tel: 4257708107)

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Updated Business Mailing Address December 27, 2024

Registered at 22702 30TH CT SE, BOTHELL, WA 980214214 (Tel: 4257708107)

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Organization / Clinic Name Updated December 27, 2024

Operating as PENNY WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2024

Behavior Analyst

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Initial NPI Registration & Enumeration December 27, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1396553954

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 27, 2024

Last Update: December 27, 2024

Update or Correct Listing

Mailing Address

22702 30th Ct Se

Bothell, WA 980214214

Phone: 4257708107

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.