Active NPI
Giovanni Trujillo
- Behavior Technician
- Seattle, WA
National Provider Identifier
1144008442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- NC61245877
- Practice address
- 2600 SW Holden St
Seattle, WA 98126-3505 - Phone
- (206) 933-7000
- NPI assigned
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC61245877 | WA | Primary |
Addresses
Primary practice location
2600 SW Holden St
Seattle, WA 98126-3505
Mailing address
1141 Glennwood Ave NE Unit a
Renton, WA 98056-3192
Phone (206) 596-6371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC61245877 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1144008442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 GLENNWOOD AVE NE UNIT A",
"city": "RENTON",
"state": "WA",
"postal_code": "980563192",
"telephone_number": "206-596-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SW HOLDEN ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263505",
"telephone_number": "206-933-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "GIOVANNI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "NC61245877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.