Individual provider Active NPI

Tamara Lee Bair, BT

  • Behavior Technician
  • Lacey, WA
National Provider Identifier
1508699752
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
61567478 Issued in WA
Practice address
3231 Willamette Dr NE Ste a
Lacey, WA 98516-1378
Phone
(360) 878-6434
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

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
Credentials
Bachelor of Theology

State licenses

LicenseStateTypeSpecialty
61567478WAMDBehavior Technician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 61567478 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

3231 Willamette Dr NE Ste a
Lacey, WA 98516-1378

Mailing address

1716 Springfield PL NE
Olympia, WA 98506-5285
Phone (360) 292-8189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2024.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1508699752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 SPRINGFIELD PL NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065285",
            "telephone_number": "360-292-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161378",
            "telephone_number": "360-878-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "61567478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.