Maya Rose Archie

Individual provider Active NPI Behavior Technician · Kent, WA

NPI 1093625311 · NPPES record last updated Sep 11, 2026

Key facts

NPI
1093625311
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8725 S 212TH St
Kent, WA 98031-1921
Phone
(425) 658-3016
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X WA Yes

Addresses

Primary practice location

8725 S 212TH St
Kent, WA 98031-1921

Mailing address

8725 S 212TH St
Kent, WA 98031-1921
Phone (425) 658-3016

Other providers in Kent, WA

All providers in Kent, WA · Behavior Technician in Washington

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.