MEDICARE: SADE WASHINGTON

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	4230960	DC

General Provider Information

NPI Number	:	1386508109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADE WASHINGTON

Provider Business Mailing Address
First Line	:	5114 D ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-6121
Country	:	US
Telephone Number	:	240-845-4293
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 D ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-6121
Country	:	US
Telephone Number	:	240-845-4293
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ SADE WASHINGTON ” Practice Location

Language	Start Address	Practice Location

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