HEATHER SHIN - NPI 1447612346 - Behavior Analyst in Bellevue, WA

Q: What is Heather Shin's NPI number?

The NPI number for Heather Shin is 1447612346. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Heather Shin's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Shin was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Heather Shin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER SHIN (NPI 1447612346) is an individual behavior analyst provider in Bellevue, Washington and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447612346

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameHEATHER SHIN

Location Address1240 116TH AVE NE STE 102Bellevue, WA 98004-3815

Mailing Address12925 Ne 145th PlKirkland, WA 98034-1324

Phone(206) 437-5412

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 22, 2016

Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1447612346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

1240 116TH AVE NE STE 102, Bellevue, WA 98004

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Secondary Practice Location 1

Location 19800 4th Ave NESeattle, WA 98115-2158 · Phone (206) 302-1200 · Fax (877) 516-8135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Shin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719409473

PECOS Enrollment IDI20250321003045

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY PETERSON

Behavior Analyst