Lillian O Antonietti

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61375647 Issued in WA

Practice address

1500 W 4TH Ave Ste 200
Spokane, WA 99201-7239

Phone

(509) 324-6421

NPI assigned

Oct 22, 2024

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1245051382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W CHERRYWOOD CT # A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182914",
            "telephone_number": "509-954-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 4TH AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017239",
            "telephone_number": "509-324-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIETTI",
        "first_name": "LILLIAN",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61375647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Marie Antles, BS
• Julie Anton, LMHCA
• Kimberly Jean Anton, PHARM.D.
• Mary Ellen Anton, PT ATC
• Antonia Tombari and Associates PLLC
• Kristine Anttila, LICSW
• Jenna Marie Anway
• Anya Consiglio MD, PS
• Amber N Anyan, PT, DPT
• Brent Daniel Anyan, DDS PS

• Behavior Technician in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.