Active NPI
Wendy Alana Lara Lundquist
- Behavior Technician
- Tukwila, WA
National Provider Identifier
1003551805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LARALWA221MG | Other | WA | WASHINGTON 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Behavior Specialists LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Auburn, WA
- NPI 1952900664
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.