Individual provider Active NPI

Christine Mulate, BT

  • Behavior Technician
  • Spokane Valley, WA
National Provider Identifier
1881449007
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CBT.CB.61538918 Issued in WA
Practice address
16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830
Phone
(206) 536-8168
NPI assigned
Apr 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CBT.CB.61538918 WA Primary

Addresses

Primary practice location

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

Mailing address

16102 E Broadway Ave Apt B301
Spokane Valley, WA 99037-9817
Phone (206) 536-8168

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL maxim.connect.html Maxim Healthcare Services, Inc.

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
Credentials
Bachelor of Theology

State licenses

LicenseStateTypeSpecialty
CBT.CB.61538918WAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1881449007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 E BROADWAY AVE APT B301",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379817",
            "telephone_number": "206-536-8168"
        },
        {
            "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": "206-536-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULATE",
        "first_name": "CHRISTINE",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CBT.CB.61538918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maxim.connect.html",
            "affiliation": "Y",
            "affiliationName": "Maxim Healthcare Services, Inc.",
            "address_1": "16201 E Indiana Ave Ste 3400",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992162830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.