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

Tanicka Booth

Individual provider Behavior Technician · NPI 1316755150

Tanicka Booth is a Behavior Technician in Olympia, Washington. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Phone: (360) 528-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Concord Ave Ste 185, Concord, CA 94520-5006 — (510) 268-8120

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1316755150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address1200 Concord Ave Ste 185, Concord, CA 94520-5006

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