Active NPI
Khaela Klaire Engada Testado
- Behavior Technician
- Bothell, WA
National Provider Identifier
1306601893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 18422 103Rd Ave NE
Suite B Lower Level
Bothell, WA 98011-3410 - Phone
- (425) 949-0801
- NPI assigned
- Feb 14, 2024
- Last updated
- Feb 14, 2024
- Sex
- Female
- 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 Technician | 106S00000X | WA | Primary |
Addresses
Primary practice location
18422 103Rd Ave NE
Suite B Lower Level
Bothell, WA 98011-3410
Mailing address
18422 103Rd Ave NE Ste B
Bothell, WA 98011-3410
Phone (425) 949-0801
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Placellc | Behavior Technician | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1306601893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18422 103RD AVE NE STE B",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113410",
"telephone_number": "425-949-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18422 103RD AVE NE",
"address_2": "SUITE B LOWER LEVEL",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113410",
"telephone_number": "425-949-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTADO",
"first_name": "KHAELA KLAIRE",
"middle_name": "ENGADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.