Kizztophe Asuncion, CBT
Individual provider Active NPI Behavior Analyst · Covington, WA
NPI 1144738600 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1144738600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- CB60810778 (WA)
- Practice address
- 27023 164TH Ave SE
Covington, WA 98042-8241 - Phone
- (253) 639-7146
- NPI assigned
- Jan 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB60810778 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindsource Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CB60810778 | WA | Yes |
Addresses
Primary practice location
27023 164TH Ave SE
Covington, WA 98042-8241
Mailing address
27023 164TH Ave SE
Covington, WA 98042-8241
Phone (253) 639-7146
Other practice location 1
27023 164th Ave SE
Covington, WA 98042-8241
Phone (253) 639-7146
Other providers in Covington, WA
- Aquiline Counseling, LLC
- Michelle L Arbini
- Alejandro Arnold
- Ascend Therapy Services PLLC
- Abiy B Assen
- Emily Aubrey
- Jennifer L Avila-Smith
- Negar Ayoubzadeh-Bartos
- Azanda Homecare Agency, LLC
- Jessica Baca
All providers in Covington, WA · Behavior Analyst in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.