Kumiko Gorman

Individual provider Active NPI Behavior Analyst · Sammamish, WA

NPI 1992165351 · NPPES record last updated Feb 28, 2016

Key facts

NPI
1992165351
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2918 243Rd Ave SE
Sammamish, WA 98075-9411
Phone
(206) 372-6430
NPI assigned
Feb 28, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

2918 243Rd Ave SE
Sammamish, WA 98075-9411

Mailing address

2918 243Rd Ave SE
Sammamish, WA 98075-9411
Phone (206) 372-6430

Other providers in Sammamish, WA

All providers in Sammamish, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.