Active NPI
Atyzha Upton
- Behavior Technician
- Dupont, WA
National Provider Identifier
1669068540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1570 Wilmington Dr Ste 220
Dupont, WA 98327-8773 - Phone
- (206) 453-4882
- NPI assigned
- Dec 15, 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 | WA | Primary |
Addresses
Primary practice location
1570 Wilmington Dr Ste 220
Dupont, WA 98327-8773
Mailing address
4520 N Howard St
Spokane, WA 99205-1143
Other practice location 1
4520 N Howard St
Spokane, WA 99205-1143
Phone (509) 904-6617
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1669068540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 N HOWARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051143"
},
{
"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": "4520 N Howard St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992051143",
"country_code": "US",
"telephone_number": "509-904-6617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPTON",
"first_name": "ATYZHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dupont, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.