Active NPI
Priscila Sandra Madeira Lau
- Behavior Technician
- Mountlake Terrace, WA
National Provider Identifier
1427514884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB60923459
- Practice address
- 6021 244TH St SW Ste 400
Mountlake Terrace, WA 98043-5400 - Phone
- (425) 245-9940
- NPI assigned
- Feb 11, 2019
- Last updated
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB60923459 | WA | Primary |
Addresses
Primary practice location
6021 244TH St SW Ste 400
Mountlake Terrace, WA 98043-5400
Mailing address
5608 15TH Ave NE Apt 205
Seattle, WA 98105-2555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB60923459 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services Inc. | Past | Accepting new patients | |
| Maxim Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Mountlake Terrace, WA
- NPI 1477051993
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1932206380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1427514884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 15TH AVE NE APT 205",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981052555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 244TH ST SW STE 400",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435400",
"telephone_number": "425-245-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEIRA LAU",
"first_name": "PRISCILA",
"middle_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60923459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
- Miranda Macdicken
- Gordon Macdonald, RPH
- Belynda Jo Macias, LMT
- Jason Macleod, PSYD
- Mihail Madan
- Madison Park Pharmacy and Wellness Center LLC (Axis Pharmacy Northwest)
- Madison Park Pharmacy and Wellness Center LLC (Axis Pharmacy Northwest)
- Erik Brian Mahler, A.T.C.
- Allison Mahoney, M. ED., BCBA
- Mike Mai, ARNP, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.