Shalene Nicole Haynie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61078847 Issued in WA

Practice address

6927 Strouf Ave SE
Snoqualmie, WA 98065-8729

Phone

(425) 233-0597

NPI assigned

Jun 16, 2020

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

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1366067266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 STROUF AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658729",
            "telephone_number": "425-233-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 STROUF AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658729",
            "telephone_number": "425-233-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "SHALENE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61078847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Hagen, ARNP
• Theresa L Haley, PT, DPT, CMP
• Jennifer Hall
• Kimbre Leigh Hall, MS, OTR/L
• Jonathan Halper, MD
• Erika Ingrid Hendron Menninger, OTD, ORT/L
• Melissa Hepworth
• Amy Hersh
• Roxana Hicks, MD
• Noah Hilliker

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

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

Verify at the official NPI Registry.