Victoria Ruth Edelstein

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

32650 State Route 20 Ste E204
Oak Harbor, WA 98277-2686

Phone

(360) 279-9000

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1093330656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MID VALLEY CTR STE 186",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238516",
            "telephone_number": "916-337-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE E204",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772686",
            "telephone_number": "360-279-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "VICTORIA",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynacare Northwest Inc.
• Dynacare Northwest, Inc
• Grace Dzieciuch
• Amy Nichole East
• Tina Eckert
• Claire Edwards
• Amanda Lynn Eggleston, LMT
• Cynthia Anne Elliott, RN
• Crystal Ellis, RN
• Janet L. Elvrum, LMP

• Behavior Technician in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.