Individual provider Active NPI

Phoenix Azriel Wattam, RBT

  • Behavior Technician
  • Seattle, WA
National Provider Identifier
1881503944
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-2834940 Issued in WA
Practice address
600 Stewart St Ste 300
Seattle, WA 98101-1257
Phone
(360) 296-0439
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 RBT-26-2834940 WA Primary

Addresses

Primary practice location

600 Stewart St Ste 300
Seattle, WA 98101-1257

Mailing address

5142 Byers Rd
Ferndale, WA 98248-8928
Phone (360) 296-0439

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1881503944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 BYERS RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488928",
            "telephone_number": "360-296-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STEWART ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011257",
            "telephone_number": "360-296-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTAM",
        "first_name": "PHOENIX",
        "middle_name": "AZRIEL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-26-2834940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.