Deonna Goetz

Individual provider Active NPI Behavior Technician · Lake Tapps, WA

NPI 1134080732 · NPPES record last updated Nov 25, 2025

Key facts

NPI
1134080732
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2910 170TH Ave E
Lake Tapps, WA 98391-5526
Phone
(253) 797-4200
NPI assigned
Nov 21, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2910 170TH Ave E
Lake Tapps, WA 98391-5526

Mailing address

2910 170TH Ave E
Lake Tapps, WA 98391-5526

Other providers in Lake Tapps, WA

All providers in Lake Tapps, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.