Provider Demographics
NPI:1164119822
Name:VOAG, TERESA (CBT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:VOAG
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 PACIFIC AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4188
Mailing Address - Country:US
Mailing Address - Phone:425-258-7097
Mailing Address - Fax:
Practice Address - Street 1:900 PACIFIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4188
Practice Address - Country:US
Practice Address - Phone:425-258-7097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician