Fadumo Ali Adan, BEHAVIORALSPECIALIST

Individual provider Active NPI Behavior Technician · Bellevue, WA

NPI 1215701701 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1215701701
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1715 114TH Ave SE Ste 219
Bellevue, WA 98004-6906
Phone
(877) 910-6538
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1715 114TH Ave SE Ste 219
Bellevue, WA 98004-6906

Mailing address

1200 Concord Ave Ste 100
Concord, CA 94520-4969

Other practice location 1

1200 Concord Ave Ste 100
Concord, CA 94520-4969
Phone (206) 859-1291

Other providers in Bellevue, WA

All providers in Bellevue, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.