MEDICARE: JUSTIN ANDRES ALVARADO FLORES

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	:	1588513394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ANDRES ALVARADO FLORES

Provider Business Mailing Address
First Line	:	6523 CALIFORNIA AVE SW STE 19
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1833
Country	:	US
Telephone Number	:	206-653-1804
Fax Number	:	206-653-9407

Provider Business Practice Location Address
First Line	:	6523 CALIFORNIA AVE SW STE 19
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1833
Country	:	US
Telephone Number	:	206-653-1804
Fax Number	:	206-653-9407

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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