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

Ivy Diane Street

Individual provider Behavior Technician · NPI 1609569540

Ivy Diane Street is a Behavior Technician in Kent, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

8725 S 212th St
Kent, WA 98031-1921
Phone: (425) 658-3016
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CBT.CB.61461846 (WA)

Record details

NPI number1609569540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2023
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

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