Winter Joy Marshall-Allen, RBT-19-92324

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-92324 Issued in AK

Practice address

338800 Community College Drive
Suite 1
Soldotna, AK 33669

Phone

(907) 262-0893

NPI assigned

Jul 18, 2019

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

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1720631864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 FOREST GLEN DR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037467",
            "telephone_number": "918-869-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338800 COMMUNITY COLLEGE DRIVE",
            "address_2": "SUITE 1",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "33669",
            "telephone_number": "907-262-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3773 Forest Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "AK",
            "postal_code": "996037467",
            "country_code": "US",
            "telephone_number": "918-869-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL-ALLEN",
        "first_name": "WINTER",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "RBT-19-92324",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AK",
            "license": "19-92324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marcano
• Tamar Gibli Marcotte, D.O.
• Marcus C Deede MD
• Marikeet Home Health Services of Alaska, LLC
• Marikeet Home Health Services of Alaska, LLC
• Bryce Allen Martin
• Karen M Martin, AU.D.
• Ronald L Martinelli, D.D.S.
• Roger David Martinez, M.D.
• Diana Marvin

• Behavior Technician in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.