Allison Clem
Individual provider Active NPI Behavior Technician · Kingston, WA
NPI 1104761196 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1104761196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 20959 Virginia Ave NE
Kingston, WA 98346-9134 - Phone
- (310) 753-7662
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
20959 Virginia Ave NE
Kingston, WA 98346-9134
Mailing address
3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482
Other providers in Kingston, WA
- Susan E Brown
- Patti Cagle
- Patti Ann Carman
- Virginia Lynn Chard
- Heidi C. Clark
- Katie Conroy
- Lindsey Cornwell
- Sean M Couch
- Seth Evan Culp
- Juli Ann D'Aniello
All providers in Kingston, 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 Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.