Active NPI
Velika Wong
- Behavior Analyst
- Tukwila, WA
National Provider Identifier
1720434392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15445 53Rd Ave S Ste 110
Tukwila, WA 98188-2326 - Phone
- (206) 313-8840
- NPI assigned
- May 12, 2016
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
15445 53Rd Ave S Ste 110
Tukwila, WA 98188-2326
Mailing address
612 140TH CT SE Apt A206
Bellevue, WA 98007-8025
Phone (425) 623-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111524501 | Medicaid | WA |
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": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1720434392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 140TH CT SE APT A206",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980078025",
"telephone_number": "425-623-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15445 53RD AVE S STE 110",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882326",
"telephone_number": "206-313-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "VELIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111524501",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.