NPI 1023628526 · live from the CMS NPI Registry
Kaitlin Joyce Agosta, BCBA
Behavior Analyst in Tumwater, WA. National Provider Identifier 1023628526, active.
NPI record
| NPI | 1023628526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6330 Capitol Blvd Se, Tumwater, WA 98501 |
| Practice phone | 360-456-2237 |
| Enumerated | August 9, 2020 |
| Last updated | September 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | LABA.AB.61493617 (WA) |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | BA61603313 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.