Active NPI
Myha McKinnon, CBT, RBT
- Behavior Technician
- Lakewood, WA
National Provider Identifier
1346867694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61068698
- Practice address
- 4606 108TH St SW
Lakewood, WA 98499-4146 - Phone
- (253) 693-2626
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | CB61068698 | WA | Primary |
Addresses
Primary practice location
4606 108TH St SW
Lakewood, WA 98499-4146
Mailing address
PO Box 44963
Tacoma, WA 98448-0963
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61068698 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ame Higher LLC | Single Specialty | Current | Accepting new patients |
Locations
4606 108th St SW
Lakewood, WA 98499
Phone (253) 693-2626
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1346867694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44963",
"city": "TACOMA",
"state": "WA",
"postal_code": "984480963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994146",
"telephone_number": "253-693-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "MYHA",
"credential": "CBT, RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61068698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.