Taya Renee Simbulan, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7282 Stinson Ave Ste B
Gig Harbor, WA 98335-4930

Phone

(253) 858-5846

Fax

(253) 858-4063

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alta Vista Integrated Life Services

  • Clinical Social Worker
  • Gig Harbor, WA
  • NPI 1538726252
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1295311413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NE BYERLY DR",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289396",
            "telephone_number": "831-234-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 STINSON AVE STE B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354930",
            "telephone_number": "253-858-5846",
            "fax_number": "253-858-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Pottery Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983662592",
            "country_code": "US",
            "telephone_number": "360-355-8969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMBULAN",
        "first_name": "TAYA",
        "middle_name": "RENEE",
        "credential": "CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Skies Mental Health and Wellness, PLLC
• Sightline Ophthalmology PS
• Sigma Health PLLC (LifeWell Clinic)
• Silverdale Psychiatric Services LLC
• Ann Marie Silvers, M.A., LMHC
• Kristin Marie Simone, ARNP
• Ashley Simone Simpson, DDS
• Hunter Simpson, D.D.S
• Simpson&Bloomquist DDS, PLLC (Karla M Bloomquist, DDS)
• Linsey Nicole Singleton, LICSW

• Behavior Technician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.