MEDICARE: PRISMATIC GARDENS PLLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1265384101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRISMATIC GARDENS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 58208
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98138-1208
Country	:	US
Telephone Number	:	209-640-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 BARNES BLVD SW
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98512-0410
Country	:	US
Telephone Number	:	209-640-2182
Fax Number	:

Authorized Official
Title or Position	:	CEO, CO FOUNDER, BCBA
Name	:	STEFFANIE SIMS
Credential	:	M.S., BCBA
Telephone Number	:	209-640-2182

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1467271783 — SEEN MEDICAL GROUP OF WA, P.C.
Practice Location Address:

1780 BARNES BLVD SW
TUMWATER, WA
98512-0410

Practice Phone: 339-499-9815
Practice Fax:

1326445750 — DR. GENWARD HWANG DPT
Practice Location Address:

2120 MOTTMAN RD SW
TUMWATER, WA
98512-7823

Practice Phone: 360-357-7466
Practice Fax:

1275486011 — ELLYNE CARRILLO
Practice Location Address:

3285 FERGUSON ST SW STE 218
TUMWATER, WA
98512-6143

Practice Phone: 360-943-1907
Practice Fax:

1245185800 — ANDREW ONGUKO CNA
Practice Location Address:

4948 RURAL RD SW # A
TUMWATER, WA
98512-6740

Practice Phone: 360-764-8934
Practice Fax:

1952251571 — MATTHEW DAVID GARRETSON
Practice Location Address:

3285 FERGUSON ST SW
TUMWATER, WA
98512-6143

Practice Phone: 360-800-6882
Practice Fax:

1174527782 — DR. TINA MARIA HUSSEINI MD
Practice Location Address:

1610 BISHOP RD. SW , SUITE 101
TUMWATER, WA
98512

Practice Phone: 360-754-3338
Practice Fax: 360-753-4861

Directions to “PRISMATIC GARDENS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.