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

Michael Phoenix Jay Hefferan

Individual provider Behavior Technician · NPI 1699358465

Michael Phoenix Jay Hefferan is a Behavior Technician in Lynnwood, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4100 194th St SW Ste 100
Lynnwood, WA 98036-4613
Phone: (425) 426-2761
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1699358465
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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