IndividualActive
Khadijah Tividad
NPI 1396394813 · Behavior Technician · Kent, WA
Khadijah Tividad is a Behavior Technician provider in Kent, WA (NPI 1396394813).
Provider details
- NPI number
- 1396394813
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6624 S 196th St Ste U107
Kent, WA 98032-3113
Phone: (800) 249-1266
Street-level locationGet directions
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2019-09-06
Frequently asked questions
- What is Khadijah Tividad's NPI number?
- Khadijah Tividad's National Provider Identifier (NPI) is 1396394813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadijah Tividad's specialty?
- Khadijah Tividad is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Khadijah Tividad located?
- Khadijah Tividad's practice location on file with NPPES is 6624 S 196th St Ste U107, Kent, WA 98032-3113.
- What is Khadijah Tividad's phone number?
- The practice phone number listed in the NPPES registry for Khadijah Tividad is (800) 249-1266.
- Is Khadijah Tividad's NPI active?
- Yes — Khadijah Tividad's NPI (1396394813) is active in the NPPES registry as of the last update on 2019-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.