Active NPI
Chanelle Jones
- Behavior Technician
- Graham, WA
National Provider Identifier
1760269047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61004741
- Practice address
- 10817 206TH St E
Graham, WA 98338-8841 - Phone
- (406) 249-6412
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- 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 Technician | 106S00000X | CB61004741 | WA | Primary |
Addresses
Primary practice location
10817 206TH St E
Graham, WA 98338-8841
Mailing address
1609 S 96TH St
Tacoma, WA 98444-2801
Phone (253) 442-0265
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61004741 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallory Q. Stinger | Behavior Technician | Current | Accepting new patients |
| Mallory Q. Stinger | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Technician
- Graham, WA
- NPI 1184401374
-
- Behavior Analyst
- Graham, WA
- NPI 1962062588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1760269047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 S 96TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984442801",
"telephone_number": "253-442-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10817 206TH ST E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388841",
"telephone_number": "406-249-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61004741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.