Mariana Aguilar Hernandez

Individual provider Active NPI Behavior Technician · Bellevue, WA

NPI 1417704271 · NPPES record last updated May 1, 2024

Key facts

NPI
1417704271
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1380 112TH Ave NE Ste 206
Bellevue, WA 98004-3759
Phone
(425) 754-5135
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions ABA, LLC Past
since May 7, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1380 112TH Ave NE Ste 206
Bellevue, WA 98004-3759

Mailing address

2801 130TH Ave SE Apt 3C
Bellevue, WA 98005-4418
Phone (425) 233-0897

Other providers in Bellevue, WA

All providers in Bellevue, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.