Islam Moh'D Eissa Farajat, MA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

LABA.AB.70024265 Issued in WA

Practice address

16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830

Phone

(509) 995-3388

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Northwest Behavior, LLC

  • Behavior Analyst
  • Spokane, WA
  • NPI 1275020547
  NPD (past)

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1790548154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8344",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030344",
            "telephone_number": "509-995-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3400",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-995-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAJAT",
        "first_name": "ISLAM",
        "middle_name": "MOH'D EISSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "LABA.AB.70024265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Ties Therapy, PLLC
• Corbin Lee Fanara, LMT
• Karen Liu Fang, MD
• Sarah Jean Fanning
• Darian Faraca, RN
• Angela Farb, OT
• Lana Jean Farb, PT
• Heidi Farr
• Michael Farruggia
• Jennessa May Faulkner, LMT

• Assistant Behavior Analyst in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.