Kanun Andrade Chacon, CBT
Individual provider Active NPI Behavior Analyst · Bellevue, WA
NPI 1780494153 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1780494153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- CB61644461 (WA)
- Practice address
- 16120 NE 8TH St
Bellevue, WA 98008-3937 - Phone
- (425) 747-4004
- Fax
- (425) 747-1069
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61644461 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindering Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CB61644461 | WA | Yes |
Addresses
Primary practice location
16120 NE 8TH St
Bellevue, WA 98008-3937
Mailing address
16120 NE 8TH St
Bellevue, WA 98008-3937
Phone (425) 747-4004
Other providers in Bellevue, WA
- Melanie Janine Anderson
- Richard Vincent Anderson
- Stephen Bowen Anderson
- Steve Anderson
- Jeannie K Anderst
- Jordyn Andrew
- Colin Reed Andrews
- Kate Andrews
- Threasa Andrys
- Anesis Bel-Red ASC, LLC
All providers in Bellevue, 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 Jan 8, 2025. 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.