Active NPI
Abc Dyslexia Center, LLC
- Developmentally Disabled Services Day Training Agency
- Kent, WA
National Provider Identifier
1619314192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ABC DYSLEXIA CENTER, LLC
- Practice address
- 1819 Central Ave S
122
Kent, WA 98032-7501 - Phone
- (206) 824-4456
- NPI assigned
- May 24, 2013
- Last updated
- May 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aleta L Clark
- Title
- Owner
- Phone
- (253) 854-9377
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary | |
| Counselor | 101Y00000X | NU | ||
| School Counselor | 101YS0200X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Mental Health Occupational Therapist | 225XM0800X | NU | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NU | ||
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
1819 Central Ave S
122
Kent, WA 98032-7501
Mailing address
1819 Central Ave S
122
Kent, WA 98032-7501
Phone (253) 854-9377
National Provider Directory
National Provider DirectoryLocations
1819 Central Ave S
Ste 122
Kent, WA 98032
Phone (206) 824-4456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1619314192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 CENTRAL AVE S",
"address_2": "122",
"city": "KENT",
"state": "WA",
"postal_code": "980327501",
"telephone_number": "253-854-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 CENTRAL AVE S",
"address_2": "122",
"city": "KENT",
"state": "WA",
"postal_code": "980327501",
"telephone_number": "206-824-4456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABC DYSLEXIA CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ALETA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-854-9377",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.