IndividualActive
Desiree Roa
NPI 1588440200 · Behavior Technician · Graham, WA
Provider details
- NPI number
- 1588440200
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CB61435604 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
10817 206th St E
Graham, WA 98338-8841
Phone: (406) 249-6412
Street-level locationGet directions
Mailing address
15724 118th Avenue Ct E
Puyallup, WA 98374-9738
Registry dates
- Enumerated
- 2023-09-07
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.