Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ireland Susannah Bosworth

Individual provider Behavior Technician · NPI 1265309934

Ireland Susannah Bosworth is a Behavior Technician in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

4624 Waller Rd E
Tacoma, WA 98443-1418
Phone: (253) 252-9293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CB70022307 (WA)

Record details

NPI number1265309934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2025
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025
Mailing address4624 Waller Rd E, Tacoma, WA 98443-1418

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