Healthcare Provider Details

I. General information

NPI: 1659284800
Provider Name (Legal Business Name): ARIANNA CHEYENN PEARMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 NW MALL ST STE 4
ISSAQUAH WA
98027-8950
US

IV. Provider business mailing address

1375 NW MALL ST STE 4
ISSAQUAH WA
98027-8950
US

V. Phone/Fax

Practice location:
  • Phone: 425-663-2841
  • Fax:
Mailing address:
  • Phone: 425-663-2841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB.61491586
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: