Active NPI
Rosalita Helldorfer
- Behavior Technician
- Arlington, WA
National Provider Identifier
1881474468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CG61467665
- Practice address
- 17825 59TH Ave NE Ste B
Arlington, WA 98223-6453 - Phone
- (360) 363-4234
- Fax
- (360) 363-4235
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CG61467665 | WA | |
| Behavior Technician | 106S00000X | CG61467665 | WA | Primary |
Addresses
Primary practice location
17825 59TH Ave NE Ste B
Arlington, WA 98223-6453
Mailing address
17825 59TH Ave NE Ste B
Arlington, WA 98223-6453
Phone (360) 363-4234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61467665 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Autism | Behavior Technician | Current | Accepting new patients |
Locations
17825 59th Ave NE
Ste B
Arlington, WA 98223
Phone (360) 363-4234
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1881474468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17825 59TH AVE NE STE B",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982236453",
"telephone_number": "360-363-4234",
"fax_number": "360-363-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17825 59TH AVE NE STE B",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982236453",
"telephone_number": "360-363-4234",
"fax_number": "360-363-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLDORFER",
"first_name": "ROSALITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CG61467665",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CG61467665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.