Estes, Madeline

Estes, Madeline is an individual health care provider with primary practice located at 651 Strander Blvd Ste 105 , Tukwila WA 98188-2914. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Estes, Madeline can be contacted via phone (884) 020-6313.

Contact Information

Primary practice address
651 Strander Blvd Ste 105 Tukwila WA 98188-2914
Phone: (884) 020-6313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA61032064 Washington

Profile Details

NPI number 1619526357
LBN Legal business name Estes, Madeline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Jan 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619526357 NPPES
Washington MEDICAID 111524501

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