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

Shivam Bansal

Individual provider Behavior Technician · NPI 1790407401

Shivam Bansal is a Behavior Technician in Seattle, Washington. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4915 25th Ave NE Ste 202
Seattle, WA 98105-5668
Phone: (206) 830-0299
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 number1790407401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address4915 25th Ave Ne Ste 202, Seattle, WA 98105-5668

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