Individual provider Active NPI

Stacie Alipio

  • Behavior Technician
  • Renton, WA
National Provider Identifier
1043772452
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB60955035 Issued in WA
Practice address
14012 163Rd PL SE
Renton, WA 98059-3662
Phone
(206) 214-7516
Fax
(425) 282-4168
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CB60955035 WA Primary

Addresses

Primary practice location

14012 163Rd PL SE
Renton, WA 98059-3662

Mailing address

23534 58TH Ave S Apt Nn102
Kent, WA 98032-3766
Phone (206) 390-9960

Other names 1

  • Ms. Stacie Mollie P Alipio Professional name

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

State licenses

LicenseStateTypeSpecialty
CB60955035WAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1043772452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23534 58TH AVE S APT NN102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980323766",
            "telephone_number": "206-390-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 163RD PL SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593662",
            "telephone_number": "206-214-7516",
            "fax_number": "425-282-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIPIO",
        "first_name": "STACIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60955035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE MOLLIE",
            "last_name": "ALIPIO",
            "middle_name": "P",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.