ANDY SONG BCBA NPI 1124755954

NPI Information

  • NPI: 1124755954
  • Provider Name: ANDY SONG, BCBA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 950 BROADWAY STE 404
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 970-3771

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NPI Details

Andy Song, BCBA is a mental health counselor in Tacoma, WA. Andy Song, BCBA NPI is 1124755954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 BROADWAY STE 404
TACOMA, WA
ZIP 98402-454
Phone: (253) 970-3771

The enumeration date for this NPI number is 8/2/2022 and was last updated on 3/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystBA61252101WASHINGTONNo
2101YM0800XCounselorMental HealthMC61300145WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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