Channra D Phea

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3810 166TH PL NE Ste 202B
Arlington, WA 98223-8403

Phone

(425) 949-0801

Fax

(866) 764-2841

NPI assigned

Sep 16, 2025

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

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1316818818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 67TH AVE NE UNIT D102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707995",
            "telephone_number": "425-501-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 166TH PL NE STE 202B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238403",
            "telephone_number": "425-949-0801",
            "fax_number": "866-764-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEA",
        "first_name": "CHANNRA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Rose Peseau, DC
• Scott William Peseau, DC
• Les V Peterson, DC
• Kevin Andrew Pfeil
• Pham, Nguyen, Anwar PLLC
• Minh Ngoc Phi, DMD
• Kathryn Marie Phillips, LMP
• Stephanie Anne Phipps, LMT
• Physicians Anesthesia of Monroe
• Sandi Ann Marie Pierson, SUDPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.