Mitchell William Teufel, MA ABS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MC60152504 Issued in WA

Practice address

11521 NE 21St St
Bellevue, WA 98004-3026

Phone

(206) 325-6296

NPI assigned

Nov 10, 2010

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1205137072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 NE 124TH ST # 410",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344305",
            "telephone_number": "206-325-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 NE 21ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043026",
            "telephone_number": "206-325-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUFEL",
        "first_name": "MITCHELL",
        "middle_name": "WILLIAM",
        "credential": "MA ABS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "MC60152504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.