Michalle Dmitrovsky
Individual provider Active NPI Behavior Technician · Bellevue, WA
NPI 1992554737 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1992554737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1510 140TH Ave NE Ste 100
Bellevue, WA 98005-4572 - Phone
- (425) 543-7382
- NPI assigned
- May 15, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1510 140TH Ave NE Ste 100
Bellevue, WA 98005-4572
Mailing address
1510 140TH Ave NE Ste 100
Bellevue, WA 98005-4572
Other providers in Bellevue, WA
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
- Issa Dkeidek
- DME Northwest LLC
- Hork Chay DO
- Huynh DO
- Monica DO
- San Linh DO
- Hazel Doan-Reeh
All providers in Bellevue, 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 May 15, 2024. 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.