Christian Tyler Vasileff, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61226309 Issued in WA

Practice address

14524 Main St NE Ste 111
Duvall, WA 98019-8467

Phone

(425) 505-1320

NPI assigned

Apr 25, 2024

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids and Family Counseling, PLLC

  • Mental Health Counselor
  • Duvall, WA
  • NPI 1477420628
  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1124874730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 STONE AVE N APT C121",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338317",
            "telephone_number": "360-929-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 MAIN ST NE STE 111",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198467",
            "telephone_number": "425-505-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILEFF",
        "first_name": "CHRISTIAN",
        "middle_name": "TYLER",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61226309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rebecca Tyler, D.D.S.
• Unified Counseling, PLLC
• Christine Valluzzi
• Maura (Mary) Angela Van Ness, L.M.P.
• Kari Lynn Vanderhouwen, RPH
• Jolynn Wagner, PHD
• Tina Marie Ward, ARNP
• Jessica Ann Weiss, LMP
• Whole Valley Therapy, PLLC
• Meghan Margaret Wilkins Melanson, LMHCA

• All providers in Duvall, WA
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.