Individual provider Active NPI

Mariela Estrada Garcia

  • Behavior Technician
  • Kennewick, WA
National Provider Identifier
1124613450
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7401 W Grandridge Blvd Ste 102
Kennewick, WA 99336-7831
Phone
(425) 977-0088
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 Primary

Addresses

Primary practice location

7401 W Grandridge Blvd Ste 102
Kennewick, WA 99336-7831

Mailing address

5811 Coppercap Mountain LN
Pasco, WA 99301-9440
Phone (509) 851-4059

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

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1124613450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 COPPERCAP MOUNTAIN LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019440",
            "telephone_number": "509-851-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W GRANDRIDGE BLVD STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367831",
            "telephone_number": "425-977-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA GARCIA",
        "first_name": "MARIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.