Katiya Carol Gombar

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CG61537321 Issued in WA

Practice address

17825 59TH Ave NE Ste B
Arlington, WA 98223-6453

Phone

(360) 363-4234

Fax

(360) 363-4235

NPI assigned

Mar 7, 2024

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beautiful Autism

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1841651585

  Behavior Technician

  NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1669230397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBAR",
        "first_name": "KATIYA",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CG61537321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Gjerset
• Valerie Gleeson, CRNA
• Rosana Lim Go, M.D.
• Sharon Mae Goetz, LMHC LICENSED MENTAL
• Abigail Acedera Golveo, RN
• Danielle Marie Goodfellow
• Alanna Edith Goodman, M.D.
• Sara C'Erveny Goodrum
• Jay Francis Goodwin, D.C.
• Hima Gorantla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.