Active NPI
Caitlyn Lynette Zamora
- Behavior Technician
- Everett, WA
National Provider Identifier
1669142634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5920 Evergreen Way Ste a
Everett, WA 98203-6005 - Phone
- (800) 805-0759
- NPI assigned
- Sep 20, 2021
- 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
5920 Evergreen Way Ste a
Everett, WA 98203-6005
Mailing address
8832 1St PL SE
Lake Stevens, WA 98258-3371
Phone (425) 903-1059
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": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1669142634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8832 1ST PL SE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982583371",
"telephone_number": "425-903-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 EVERGREEN WAY STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036005",
"telephone_number": "800-805-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "CAITLYN",
"middle_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.