Healthcare Provider Details

I. General information

NPI: 1821905977
Provider Name (Legal Business Name): KATHERINE LEAVITT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 NE COLUMBIA RD
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

4547 8TH AVE NE APT 301
SEATTLE WA
98105-6705
US

V. Phone/Fax

Practice location:
  • Phone: 206-221-6806
  • 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: