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MIKALYN RAYANN WOODRUFF NPI 1316486764


NPI Information

NPI: 1316486764
Provider Name: MIKALYN RAYANN WOODRUFF
Classification: Assistant Behavior Analyst - 106E00000X
Entity Type: Individual
Address:
3801 KERN WAY
YAKIMA, WA
ZIP 98902
Phone: (509) 574-3200
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Mikalyn Rayann Woodruff is an assistant behavior analyst in Yakima, WA. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. Mikalyn Rayann Woodruff NPI is 1316486764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 KERN WAY
YAKIMA, WA
ZIP 98902-340
Phone: (509) 574-3200

The enumeration date for this NPI number is 2/17/2017 and was last updated on 6/5/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorCG60733093WASHINGTONNo
2106E00000XAssistant Behavior AnalystCG 60733093WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11316486764MEDICAIDWASHINGTON

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: 4/28/2024

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