Active NPI
Abigail Laberge, RBT
- Behavior Technician
- Everett, WA
National Provider Identifier
1548784283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB60772840
- Practice address
- 900 Pacific Ave FL 1
Everett, WA 98201-4168 - Phone
- (425) 258-7311
- NPI assigned
- Aug 2, 2017
- 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 | CB60772840 | WA | Primary |
Addresses
Primary practice location
900 Pacific Ave FL 1
Everett, WA 98201-4168
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB60772840 | Other | WA | WA STATE LICENSE |
Other names 1
- Abigail Kay Molstre
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 |
|---|---|---|---|
| CB60772840 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1548784283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE FL 1",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014168",
"telephone_number": "425-258-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABERGE",
"first_name": "ABIGAIL",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60772840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "CB60772840",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "MOLSTRE",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.