Anatoliy Voznyarskiy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

27023 164TH. Ave SE
Covington, WA 98042

Phone

(253) 639-7146

Fax

(253) 639-7145

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindsource Center, LLC

  • Community/Behavioral Health Agency
  • Covington, WA
  • NPI 1477978849
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1417416678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17128 SE 261ST ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980428335",
            "telephone_number": "253-334-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27023 164TH. AVE SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "98042",
            "telephone_number": "253-639-7146",
            "fax_number": "253-639-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOZNYARSKIY",
        "first_name": "ANATOLIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena V Vashchuk
• April Degennaro Vela, ARNP
• Sean Michael Verlander, M.D.
• Amrit Kaur Virk
• Neal B Vitalis, D.C.
• Kyle Wagner
• Wal-Mart Stores, Inc (Vision Center 30-5073)
• Lauren Jane Waldron, PT
• Walgreen Co (Walgreens #07908)
• Nicola E Walker, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.