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Active NPI 1629773635 Organization (Entity Type 2)

Footprints Applied Behavior Analysis Llc

Behavior Analyst • Spanaway, WA

About Footprints Applied Behavior Analysis Llc NPI 1629773635 Summary

Footprints Applied Behavior Analysis Llc is a verified healthcare organization specializing in Behavior Analyst operating in Spanaway, WA. Located at 19203 71ST AVE E, this facility provides patient care and medical services under National Provider Identifier (NPI) 1629773635.

Administrative operations and authorized compliance are overseen by Yegennalyn Millanes (Owner).

Facility Location & Contact Primary Location

Facility Address

19203 71st Ave E

Spanaway, WA 983875039

Telephone 2534027911

Authorized Official Information

Authorized Contact Name

Yegennalyn Millanes , BCBA, LBA

Title / Role

Owner

Official Telephone

6192191963

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.

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 March 31, 2023

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2023

Registered at 19203 71ST AVE E, SPANAWAY, WA 983875039 (Tel: 2534027911)

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Updated Business Mailing Address March 31, 2023

Registered at 19203 71ST AVE E, SPANAWAY, WA 983875039 (Tel: 2534027911)

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Organization / Clinic Name Updated March 31, 2023

Operating as FOOTPRINTS APPLIED BEHAVIOR ANALYSIS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2023

Behavior Analyst

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Initial NPI Registration & Enumeration March 31, 2023

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: 1629773635

Entity Type:

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

Enumeration Date: March 31, 2023

Last Update: March 31, 2023

Update or Correct Listing

Mailing Address

19203 71st Ave E

Spanaway, WA 983875039

Phone: 2534027911

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.