Active NPI
Logan Donofrio
- Behavior Technician
- Bellingham, WA
National Provider Identifier
1932953395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4201 Meridian St Ste 113
Bellingham, WA 98226-5532 - Phone
- (136) 030-5327
- NPI assigned
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4201 Meridian St Ste 113
Bellingham, WA 98226-5532
Mailing address
1524 Iron St
Bellingham, WA 98225-4942
Phone (510) 599-4108
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1932953395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 IRON ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254942",
"telephone_number": "510-599-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MERIDIAN ST STE 113",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982265532",
"telephone_number": "136-030-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.