MEDICARE: DR. DANIEL WEBSTER KENT RBT, 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	CBT.CB.70083625	WA

General Provider Information

NPI Number	:	1396698593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL WEBSTER KENT RBT, CBT

Provider Business Mailing Address
First Line	:	3672 LAVENDER LN NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-4033
Country	:	US
Telephone Number	:	509-386-5053
Fax Number	:

Provider Business Practice Location Address
First Line	:	3672 LAVENDER LN NE
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-4033
Country	:	US
Telephone Number	:	509-386-5053
Fax Number	:

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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