Angenette Alexander-Royster

Individual provider Active NPI Behavior Analyst · Kirkland, WA

NPI 1831572205 · NPPES record last updated Jul 3, 2015

Key facts

NPI
1831572205
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
12040 98TH Ave NE
Ste 204
Kirkland, WA 98034-4290
Phone
(425) 658-3016
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cbpi, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

12040 98TH Ave NE
Ste 204
Kirkland, WA 98034-4290

Mailing address

12040 98TH Ave NE
Ste 204
Kirkland, WA 98034-4290
Phone (425) 658-3016

Other providers in Kirkland, WA

All providers in Kirkland, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.