Active NPI
Cynthia Rae, C.HT., RBT
- Behavior Technician
- Snohomish, WA
National Provider Identifier
1548752009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 60780344
- Practice address
- 605 2ND St Ste 211
Snohomish, WA 98290-2997 - Phone
- (844) 454-3210
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 60646940 | WA | |
| Specialist | 174400000X | 60646940 | WA | |
| Religious Nonmedical Practitioner | 374K00000X | |||
| Behavior Technician | 106S00000X | 60780344 | WA | Primary |
Addresses
Primary practice location
605 2ND St Ste 211
Snohomish, WA 98290-2997
Mailing address
605 2ND St Ste 211
Snohomish, WA 98290-2997
Phone (844) 454-3210
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 |
|---|---|---|---|
| 60646940 | WA | MD | Counselor |
| 60780344 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1548752009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 2ND ST STE 211",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902997",
"telephone_number": "844-454-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 2ND ST STE 211",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902997",
"telephone_number": "844-454-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAE",
"first_name": "CYNTHIA",
"credential": "C.HT., RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "60646940",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "60646940",
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "WA",
"license": "60780344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.