Healthcare Provider Details

I. General information

NPI: 1649108929
Provider Name (Legal Business Name): MARIAH RHODES-ZOROUFY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11634 SE 229TH PL
KENT WA
98031-3720
US

IV. Provider business mailing address

11634 SE 229TH PL
KENT WA
98031-3720
US

V. Phone/Fax

Practice location:
  • Phone: 206-947-1654
  • Fax:
Mailing address:
  • Phone:
  • 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: