Active NPI
Belinda Dawn Kizer
- Behavior Technician
- Spokane, WA
National Provider Identifier
1659907764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61048721
- Practice address
- 111 E Central Ave
Spokane, WA 99208-1108 - Phone
- (002) 236-0240
- NPI assigned
- Mar 20, 2020
- 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 | CB61048721 | WA | Primary |
Addresses
Primary practice location
111 E Central Ave
Spokane, WA 99208-1108
Mailing address
1800 Cooper Point Rd SW Ste 21
Olympia, WA 98502-1179
Phone (360) 810-1547
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 |
|---|---|---|---|
| CB61048721 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1659907764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COOPER POINT RD SW STE 21",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021179",
"telephone_number": "360-810-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E CENTRAL AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081108",
"telephone_number": "002-236-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "BELINDA",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61048721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.