Individual provider Active NPI

Wendy Alana Lara Lundquist

  • Behavior Technician
  • Tukwila, WA
National Provider Identifier
1003551805
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
651 Strander Blvd Ste 105
Tukwila, WA 98188-2914
Phone
(206) 393-7613
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X WA
Behavior Technician 106S00000X WA Primary

Addresses

Primary practice location

651 Strander Blvd Ste 105
Tukwila, WA 98188-2914

Mailing address

14901 SE 272ND St Apt D304
Kent, WA 98042-8167
Phone (425) 419-9554

Other practice location 1

110 2nd St SW
Ste140
Auburn, WA 98001-5203
Phone (253) 737-5078

Other identifiers 1

IdentifierTypeStateIssuer
LARALWA221MGOtherWAWASHINGTON STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Behavior Specialists LLC Behavior Analyst CurrentSince May 1, 2022 Accepting new patients

Locations

110 2nd St SW
Ste 140
Auburn, WA 98001
Phone (206) 480-6344

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1003551805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 SE 272ND ST APT D304",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980428167",
            "telephone_number": "425-419-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 STRANDER BLVD STE 105",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882914",
            "telephone_number": "206-393-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 2nd St SW",
            "address_2": "Ste140",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980015203",
            "country_code": "US",
            "telephone_number": "253-737-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA LUNDQUIST",
        "first_name": "WENDY",
        "middle_name": "ALANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "LARALWA221MG",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.