Provider Demographics
NPI:1104468750
Name:PALACIOS, YUDY ALEXANDRA
Entity type:Individual
Prefix:
First Name:YUDY
Middle Name:ALEXANDRA
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7735 178TH PL NE STE 130
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-6245
Mailing Address - Country:US
Mailing Address - Phone:425-587-8670
Mailing Address - Fax:
Practice Address - Street 1:16530 AVONDALE RD NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-9178
Practice Address - Country:US
Practice Address - Phone:425-587-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician