Theodore Barthlow
Individual provider Active NPI Behavior Analyst · Covington, WA
NPI 1740647015 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1740647015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 27121 174TH PL SE Ste 105
Covington, WA 98042-4939 - Phone
- (425) 399-3245
- NPI assigned
- Jan 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Behavior Analysis Consulting Services LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
27121 174TH PL SE Ste 105
Covington, WA 98042-4939
Mailing address
27121 174TH PL SE Ste 105
Covington, WA 98042-4939
Phone (425) 399-3245
Other providers in Covington, WA
- Gurinderpal Bajwa
- Baptista Kwok DDS1 PLLC
- Baptistakwokdds1,PLLC
- Derek Baril III
- Curtis John Barnett
- Jenelle Bartlett
- Kathleen Basilio
- Michelle Regan Batson
- Zackary Beard
- Graham Loren Becker
All providers in Covington, WA · Behavior Analyst in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. 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.