Individual provider Active NPI

Erin Damitio, RBT

  • Behavior Technician
  • Bellevue, WA
National Provider Identifier
1164948147
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB337487 Issued in WA
Practice address
14434 NE 8TH St Ste 2
Bellevue, WA 98007-4146
Phone
(425) 223-5126
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB337487 WA Primary

Addresses

Primary practice location

14434 NE 8TH St Ste 2
Bellevue, WA 98007-4146

Mailing address

714 7TH Ave Apt 416
Seattle, WA 98104-1968
Phone (316) 302-0561

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

LicenseStateTypeSpecialty
BACB337487WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Families for Effective Autism Treatment Feat Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1164948147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 7TH AVE APT 416",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041968",
            "telephone_number": "316-302-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14434 NE 8TH ST STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074146",
            "telephone_number": "425-223-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMITIO",
        "first_name": "ERIN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "BACB337487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.