| Bjt Behavioral Health Center | |
|
3838 D Pl Se Apt 1 Auburn WA 98002-8696 | |
| (469) 740-3341 | |
| Not Available |
| Full Name | Bjt Behavioral Health Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3838 D Pl Se Apt 1, Auburn, Washington |
| Authorized Official Name and Position | Osayande Alfred-iyamu (DIRECTOR) |
| Authorized Official Contact | 4694507164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bjt Behavioral Health Center 8600 Hawthorne St Frisco TX 75034-5632 Ph: (469) 450-7164 | Bjt Behavioral Health Center 3838 D Pl Se Apt 1 Auburn WA 98002-8696 Ph: (469) 740-3341 |
| NPI Number | 1952097131 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Medicare PECOS PAC ID | 6608232756 |
|---|---|
| Medicare Enrollment ID | O20230516003085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952097131 | NPI | - | NPPES |
| 1110235 | Other | TX | APRN |
| Provider Name | Osayande Alfred-iyamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895327 PECOS PAC ID: 7416313564 Enrollment ID: I20230517000984 |
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