Autismwave Therapy Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISMWAVE THERAPY SERVICES

Practice address

13312 SE 262ND St
Kent, WA 98042-8521

Phone

(206) 582-9392

NPI assigned

Aug 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Bullock

Title

Coo

Phone

(562) 357-5705

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariam Zaid Mzahim

  • Behavior Technician
  • Bellevue, WA
  • NPI 1316510050
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1376219691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13312 SE 262ND ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980428521",
            "telephone_number": "206-582-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13312 SE 262ND ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980428521",
            "telephone_number": "206-582-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISMWAVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "562-357-5705"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Au, RPH.
• Audrey M.K. Yan
• Patricia Christina Auerbach, MD
• Christopher Austin
• Katja S Austin, FNP
• Autumn Ridge Adult Family Home, LLC
• Autumn'S Garden Afh LLC
• Avalon Care Center-Kent LLC
• Shilene Avelar
• Annaleigh Avery

• Community/Behavioral Health Agency in Kent, WA
• Providers in Kent, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.