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Cassandra Wally , MS, BCBA, LBA

Behavior Analyst β€’ Vancouver, WA

Active NPI 1497149140 Individual Practitioner Female Practitioner
Practice location in NPPES

5809 Ne 71st Ave, Unit 12
Vancouver, WA 986619866

Call 3602292029 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5809 Ne 71st Ave
Unit 12

Vancouver, WA 986619866

Telephone 3602292029
Organization at the Same NPPES Address or Phone
Tlc Behavioral Consulting Services Facility NPI 1871299891

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Vancouver and Washington

204 active clinicians are listed under Behavior Analyst with a practice address in Vancouver, WA (2,981 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vancouver

0% of these 204 clinicians have the CMS telehealth indicator.

0% of these 204 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES WA 1-16-24068

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location August 25, 2022

Registered at 5809 NE 71ST AVE, UNIT 12, VANCOUVER, WA 986619866 (Tel: 3602292029)

πŸ“
Updated Business Mailing Address August 25, 2022

Registered at 5809 NE 71ST AVE UNIT 12, VANCOUVER, WA 986611944 (Tel: 3602292029)

πŸ‘€
Provider Name / Credentials Updated August 25, 2022

Recorded as CASSANDRA WALLY, MS, BCBA, LBA

βœ…
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2017

Registered at 9901 NE 7TH AVE, SUITE C-116, VANCOUVER, WA 986854523 (Tel: 3605712432)

πŸ“
Updated Business Mailing Address February 13, 2017

Registered at 21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 913674976 (Tel: 8183452345)

πŸ‘€
Provider Name / Credentials Updated February 13, 2017

Recorded as CASSANDRA WALLY, MS, RBT, AAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Behavior Analyst (license number reported to NPPES: WA 1-16-24068)

βœ…
NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2016

Registered at 8282 28TH CT NE STE A, LACEY, WA 985167162 (Tel: 3609156868)

πŸ“
Business Mailing Address (Initial Record) October 11, 2016

Registered at 8282 28TH CT NE STE A, LACEY, WA 985167162 (Tel: 3609156868)

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2016

Recorded as CASSANDRA WALLY, MS, RBT, AAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration March 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497149140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2015
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

5809 Ne 71st Ave Unit 12

Vancouver, WA 986611944

Phone: 3602292029

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.