Alan Enriquez

Individual provider Active NPI Behavior Technician · Snoqualmie, WA

NPI 1770142838 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1770142838
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8651 Meadowbrook Way SE
Snoqualmie, WA 98065-9560
Phone
(425) 831-8100
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8651 Meadowbrook Way SE
Snoqualmie, WA 98065-9560

Mailing address

2008 SW 348TH St
Federal Way, WA 98023-3103
Phone (253) 632-2410

Other providers in Snoqualmie, WA

All providers in Snoqualmie, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.