MIKALYN RAYANN WOODRUFF - NPI 1316486764 - Assistant Behavior Analyst in Yakima, WA

Q: What is Mikalyn Woodruff's NPI number?

The NPI number for Mikalyn Woodruff is 1316486764. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Q: What is Mikalyn Woodruff's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Q: When was this NPI record last updated?

The NPPES record for Mikalyn Woodruff was last updated on June 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mikalyn Rayann Woodruff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKALYN RAYANN WOODRUFF (NPI 1316486764) is an individual assistant behavior analyst provider in Yakima, Washington, licensed in Washington (CG 60733093) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1316486764

Entity TypeIndividualFemale

Primary Taxonomy106E00000X

Provider Legal NameMIKALYN RAYANN WOODRUFF

Location Address3801 KERN WAYYakima, WA 98902-6340

Mailing Address918 East Mead AvenueYakima, WA 98903-3720 · (509) 453-1344 · Fax (509) 453-2209

Phone(509) 574-3200

Sole ProprietorYes

Enumeration DateFebruary 17, 2017

Last NPPES UpdateJune 5, 20172 updates tracked since enumeration

✔ NPI 1316486764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

License✔ Licensed in WA · CG 60733093

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License CG60733093 (WA)

3801 KERN WAY, Yakima, WA 98902

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