Kendra Deffenbaugh

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

7401 W Grandridge Blvd
Kennewick, WA 99336-7831

Phone

(206) 388-2534

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1124624804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 AGNES ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523917",
            "telephone_number": "509-627-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367831",
            "telephone_number": "206-388-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFFENBAUGH",
        "first_name": "KENDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney T. De Cejka, PA
• Miguel Angel De la Mora, DNP, PMHNP
• Anneliese Debeaumont
• Deborah L Smith, Ed.M./LMHC
• Dree Deckert, RN
• Marcia Leigh Deffenbaugh, RPH
• Samantha Dejesus Garcia
• Jessica Ann Delarosa
• Hector Deleon, MSW
• Bruce Patrick Deleonard, PA-C

• Behavior Analyst in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Behavior Analyst in Washington

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