Healthcare Provider Details

I. General information

NPI: 1073421228
Provider Name (Legal Business Name): JENNIFER NADIA NAJARRO CAPOTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 STEWART ST STE 300
SEATTLE WA
98101-1257
US

IV. Provider business mailing address

1204 WINSLOW AVE
RICHLAND WA
99354-3164
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 509-380-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberCBT.CB.70136334
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: