Autism Services of Washington LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

AUTISM SERVICES OF WASHINGTON LLC

Practice address

2100 S 285TH St
Federal Way, WA 98003-3319

Phone

(253) 455-2957

Fax

(253) 322-0169

NPI assigned

Sep 19, 2023

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Sheila Wambui

Title

Co-Owner

Phone

(253) 391-4602

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1073391108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S 285TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033319",
            "telephone_number": "253-455-2957",
            "fax_number": "253-322-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S 285TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033319",
            "telephone_number": "253-455-2957",
            "fax_number": "253-322-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES OF WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WAMBUI",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "SHEILA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "253-391-4602"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.