Charlotte Noel Pope
Individual provider Active NPI Behavior Technician · Lake Tapps, WA
NPI 1972280402 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1972280402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- CB60763041 (WA)
- Practice address
- 18801 4TH St E
Lake Tapps, WA 98391-6426 - Phone
- (206) 200-2103
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB60763041 | WA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB60763041 | WA | Yes |
Addresses
Primary practice location
18801 4TH St E
Lake Tapps, WA 98391-6426
Mailing address
18801 4TH St E
Lake Tapps, WA 98391-6426
Phone (206) 200-2103
Other providers in Lake Tapps, WA
- Kelly O'Connor
- Nicole O'Mahoney
- Joan Ottinger
- Calla Parmly
- Jaime Pedeferri
- Sara Rakaric
- Paula J Rider
- Heather Roland
- Mohamed H Saber
- Anna Michelle May Schliesman
All providers in Lake Tapps, WA · Behavior Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.