Individual provider Active NPI

Manya Christine Ralkowski, BCBA

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1376843060
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2489 Issued in WA
Practice address
2414 SW Holden St Apt D
Seattle, WA 98106-1735
Phone
(206) 384-3702
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-05-2489 WA Primary

Addresses

Primary practice location

2414 SW Holden St Apt D
Seattle, WA 98106-1735

Mailing address

2414 SW Holden St Apt D
Seattle, WA 98106-1735
Phone (206) 384-3702

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

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1376843060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SW HOLDEN ST APT D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061735",
            "telephone_number": "206-384-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 SW HOLDEN ST APT D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061735",
            "telephone_number": "206-384-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALKOWSKI",
        "first_name": "MANYA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-05-2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.