Michaela Sue Krum, BA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT19106881 Issued in NC

Practice address

1570 Wilmington Dr Ste 220
Dupont, WA 98327-8773

Phone

(206) 453-4882

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1609412550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 220",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "206-453-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 220",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "206-453-4882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 N Bragg Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "283903316",
            "country_code": "US",
            "telephone_number": "910-295-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUM",
        "first_name": "MICHAELA",
        "middle_name": "SUE",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT19106881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Dupont, WA
• Providers in Dupont, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.