Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083130728 Individual Practitioner Female Practitioner

Lydia Heeeun Doublestein , CM, IBCLC

Behavior Technician • Federal Way, WA

Professional Overview & Biography Verified Profile Summary

Lydia Doublestein, CM, IBCLC is a registered healthcare professional specializing in Behavior Technician in Federal Way, WA. Practice services are available at 720 S 333RD ST STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 S 333rd St Ste 130

Federal Way, WA 980037357

Telephone 2537665156

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
72 Specialists

Practicing in Federal Way, WA (9374 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-17
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Advanced Practice Midwife

NUCC Taxonomy Code: 367A00000X

State License NY 001802

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Lactation Consultant, Non-RN

NUCC Taxonomy Code: 174N00000X

State License None L-159665

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Secondary Practice Locations

1940 Oakwood Dr

Fort Collins, CO 805214344

Phone: 2316758561

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Kayla Dacarus

Behavior Technician

NPI 1023685831
Sebastianne Clamor

Behavior Technician

NPI 1043803364
Carrie Warren

Behavior Technician

NPI 1063054971
Molly Gamache

Behavior Technician

NPI 1124766605
Mya Johnson

Behavior Technician

NPI 1245814706
Katherine Sjoboen

Behavior Technician

NPI 1245902147

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location February 17, 2022

Registered at 720 S 333RD ST STE 130, FEDERAL WAY, WA 980037357 (Tel: 2537665156)

📍
Updated Practice Location September 08, 2021

Registered at 1940 OAKWOOD DR, FORT COLLINS, CO 805214344 (Tel: 2316758561)

📍
Updated Business Mailing Address September 08, 2021

Registered at 1940 OAKWOOD DR, FORT COLLINS, CO 805214344 (Tel: 2316758561)

👤
Provider Name / Credentials Updated September 08, 2021

Recorded as LYDIA DOUBLESTEIN, CM, IBCLC

📍
Updated Practice Location June 30, 2018

Registered at 367 DELAWARE AVE, BUFFALO, NY 14202 (Tel: 7167993290)

📍
Updated Business Mailing Address June 30, 2018

Registered at 291 PORTER AVE APT 2W, BUFFALO, NY 142011052 (Tel: 2316758561)

📍
Updated Practice Location May 15, 2018

Registered at 2183 OCEAN AVE, BROOKLYN, NY 11229 (Tel: 7183364119)

NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2017

Registered at 2183 OCEAN AVE, BROOKLYN, NY 112292303 (Tel: 7183364119)

📍
Updated Business Mailing Address September 28, 2017

Registered at 932 SAINT MARKS AVE APT 2B, BROOKLYN, NY 112132018 (Tel: 2316758561)

👤
Provider Name / Credentials Updated September 28, 2017

Recorded as LYDIA DOUBLESTEIN, CM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Advanced Practice Midwife (License #001802 in NY)

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

Registered at 2183 OCEAN AVE, BROOKLYN, NY 112292303 (Tel: 7183364119)

📍
Updated Business Mailing Address August 15, 2017

Registered at 932 SAINT MARKS AVE APT 2B, BROOKLYN, NY 112132018 (Tel: 2316758561)

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as LYDIA DOUBLESTEIN, CM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Midwife (License #001802 in NY)

🟢
Initial NPI Registration & Enumeration August 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083130728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: February 17, 2022
Sole Proprietor: Yes

Mailing Address

1940 Oakwood Dr

Fort Collins, CO 805214344

Phone: 2316758561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.