Active NPI
Jeremiah Eglinger
- Behavior Technician
- Mukilteo, WA
National Provider Identifier
1235600131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10710 Mukilteo Speedway
Mukilteo, WA 98275-5021 - Phone
- (425) 349-8888
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
10710 Mukilteo Speedway
Mukilteo, WA 98275-5021
Mailing address
28404 74TH Dr NW
Stanwood, WA 98292-8151
Phone (360) 537-6447
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1235600131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28404 74TH DR NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928151",
"telephone_number": "360-537-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MUKILTEO SPEEDWAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755021",
"telephone_number": "425-349-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLINGER",
"first_name": "JEREMIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.