Healthcare Provider Details

I. General information

NPI: 1053224543
Provider Name (Legal Business Name): AUTUMN ROSE MORELAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S 336TH ST
FEDERAL WAY WA
98003-6385
US

IV. Provider business mailing address

2617 SW 348TH PL
FEDERAL WAY WA
98023-3087
US

V. Phone/Fax

Practice location:
  • Phone: 253-350-4465
  • Fax:
Mailing address:
  • Phone: 253-740-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: