Alexandria Rose Dieringer
Individual provider Active NPI Behavior Technician · Moses Lake, WA
NPI 1669941449 · NPPES record last updated Nov 21, 2018
Key facts
- NPI
- 1669941449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 618 S Alder St
Moses Lake, WA 98837-1760 - Phone
- (509) 764-6644
- Fax
- (509) 764-6676
- NPI assigned
- Nov 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Therapy Services of Moses Lake, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
618 S Alder St
Moses Lake, WA 98837-1760
Mailing address
PO Box 1775
Moses Lake, WA 98837-0214
Phone (509) 764-6644
Other providers in Moses Lake, WA
- Tari Ann Devaney
- Kris Dexter
- Diamond Psychology LLC
- Isabel Diaz
- Magaly Diego
- M. Lyndon Dieter
- Dino a Cacchiotti DDS PLLC
- Araceli A Dominguez
- Tania Dominguez
- Debra Lee Doornbos
All providers in Moses Lake, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.