Elizabeth Mae Bonghi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BONGHEM066OE Issued in WA

Practice address

897 Taurnic PL NW
Bainbridge Island, WA 98110-2760

Phone

(206) 790-2339

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1174179162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 NW MYHRE RD # 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837669",
            "telephone_number": "360-328-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 TAURNIC PL NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102760",
            "telephone_number": "206-790-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGHI",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "BONGHEM066OE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita C Bermann, RDN
• Claire Beukes, PTA
• Amy Biondo, PMHNP-BC
• Brynn Blanchard
• Michele C. Bombardier, MA, CCC-SLP
• Kristin Cronin Boone, LMFTA
• Paige A Boren, CDP
• Lawrence Curtis Bouma, DDS
• Camille Bourret, M.A. CCC-SLP
• James Bowman, LMP

• Behavior Technician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.