Miss Moon Prayer Rainbow, RBT is a
Behavior Technician based in Tacoma, Washington. Miss Moon Prayer Rainbow is licensed to practice in Washington (license number CB61056109) and her current practice location is
711 Commerce St, Tacoma, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 485-9254.
NPI number for Miss Moon Prayer Rainbow is 1285024299 and her current mailing address is 505 Washington St Se Apt 6, Olympia, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285024299.
Healthcare Provider's Profile
| Full Name | Miss Moon Prayer Rainbow |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 711 Commerce St, Tacoma, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285024299
- Provider Enumeration Date: 01/28/2015
- Last Update Date: 04/03/2020
Medical Identifiers
Medical identifiers for Miss Moon Prayer Rainbow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285024299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CL 60491288 (Washington) | Secondary |
| 106S00000X | Behavior Technician | CB61056109 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Moon Prayer Rainbow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Moon Prayer Rainbow, RBT
505 Washington St Se Apt 6,
Olympia, WA 98501-9303
Ph: (360) 485-9254 | Miss Moon Prayer Rainbow, RBT
711 Commerce St,
Tacoma, WA 98402-4514
Ph: (360) 485-9254 |
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