Active NPI
Nathaniel K Maw
- Behavior Technician
- Spokane Valley, WA
National Provider Identifier
1457118135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61524056
- Practice address
- 16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830 - Phone
- (509) 900-3699
- NPI assigned
- Feb 29, 2024
- Sex
- Male
- 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 | CB61524056 | WA | Primary |
Addresses
Primary practice location
16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830
Mailing address
16201 E Indiana Ave Suite 3400
Spokane Valley, WA 99216
Phone (509) 900-3699
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 |
|---|---|---|---|
| CB61524056 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1457118135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16201 E INDIANA AVE SUITE 3400",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-900-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 E INDIANA AVE STE 3400",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162830",
"telephone_number": "509-900-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAW",
"first_name": "NATHANIEL",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-29",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61524056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.