Active NPI
Marc Tannous, M. ED, BCBA
- Behavior Analyst
- Tukwila, WA
National Provider Identifier
1285181271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 651 Strander Blvd Ste 105
Tukwila, WA 98188-2914 - Phone
- (206) 313-8840
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
651 Strander Blvd Ste 105
Tukwila, WA 98188-2914
Mailing address
952 N 80TH St
Apt 2
Seattle, WA 98103-4360
Phone (612) 876-1437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111524501 | Medicaid | WA |
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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Pediatric Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tukwila, WA
- NPI 1245728534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1285181271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 N 80TH ST",
"address_2": "APT 2",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981034360",
"telephone_number": "612-876-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 STRANDER BLVD STE 105",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882914",
"telephone_number": "206-313-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNOUS",
"first_name": "MARC",
"credential": "M. ED, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111524501",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.