Individual provider Active NPI

Emily Anne Robinette

  • Behavior Technician
  • Mountlake Terrace, WA
National Provider Identifier
1699305276
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6505 218TH St SW Ste 12
Mountlake Terrace, WA 98043-2135
Phone
(206) 388-0544
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6505 218TH St SW Ste 12
Mountlake Terrace, WA 98043-2135

Mailing address

17503 25TH Ave NE Unit P108
Marysville, WA 98271-4845
Phone (425) 501-0111

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.imaginebehaviorwashington.com/

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Behavioral & Developmental Services PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1699305276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 25TH AVE NE UNIT P108",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714845",
            "telephone_number": "425-501-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 218TH ST SW STE 12",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432135",
            "telephone_number": "206-388-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINETTE",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.imaginebehaviorwashington.com/",
            "affiliation": "N",
            "address_1": "6505 218th St SW Ste 12",
            "city": "Mountlake Terrace",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980432135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.