Yelizaveta Vasilyev

Individual provider Active NPI Behavior Technician · Spokane, WA

NPI 1942021902 · NPPES record last updated Jan 4, 2025

Key facts

NPI
1942021902
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1720 N Hamilton St
Spokane, WA 99207-2474
Phone
(866) 240-0808
Fax
(866) 240-0809
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

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
L.E.a.P.S and Beyond, Inc Past
since Oct 27, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1720 N Hamilton St
Spokane, WA 99207-2474

Mailing address

1720 N Hamilton St
Spokane, WA 99207-2474
Phone (866) 240-0808

Other providers in Spokane, WA

All providers in Spokane, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.