Yuliya Borenko
Individual provider Active NPI Behavior Technician · Covington, WA
NPI 1154983393 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1154983393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 27023 164TH Ave SE
Covington, WA 98042-8241 - Phone
- (253) 639-7146
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindsource Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
27023 164TH Ave SE
Covington, WA 98042-8241
Mailing address
27023 164TH Ave SE
Covington, WA 98042-8241
Other providers in Covington, WA
- Tessa Isabel Bocock
- Body Works Massage Clinic
- Becky Jo Bohlin
- Zoia Boichuk
- Karine Bonin
- Michelle Noble Bowden
- Keith A Boyd
- Alexandra Marie Boyle
- Cheyenne Boyle
- Kristy Claire Braunston
All providers in Covington, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.