MEDICARE: BAILEY NEKAE MARTIN CBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		WA

General Provider Information

NPI Number	:	1205784436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY NEKAE MARTIN CBT

Provider Business Mailing Address
First Line	:	10333 MAIN ST APT 562
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-6882
Country	:	US
Telephone Number	:	425-999-1408
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E 3RD ST
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8201
Country	:	US
Telephone Number	:	425-999-1408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “ BAILEY NEKAE MARTIN CBT” Practice Location

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