Rifat Timurovich Abdullaev

Individual provider Active NPI Behavior Technician · Covington, WA

NPI 1972378784 · NPPES record last updated Nov 21, 2023

Key facts

NPI
1972378784
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
27121 174TH PL SE Ste 105
Covington, WA 98042-4939
Phone
(425) 399-3245
NPI assigned
Nov 21, 2023
Sex
Male
Sole proprietor
No

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
Behavior Analysis Consulting Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

27121 174TH PL SE Ste 105
Covington, WA 98042-4939

Mailing address

27121 174TH PL SE Ste 105
Covington, WA 98042-4939
Phone (425) 399-3245

Other providers in Covington, WA

All providers in Covington, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.