Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063928125 Individual Practitioner Female Practitioner

Shelly Grace Lozano Mariano , CCC-SLP

Speech-Language Pathologist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Shelly Grace Mariano, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Seattle, WA. Practice services are available at 12036 64TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12036 64th Ave S

Seattle, WA 981783603

Telephone 2067855898
Associated Practice Facility / Clinic
🏢 Playbox Pediatric Therapy Facility NPI 1629778386

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
539 Specialists

Practicing in Seattle, WA (4167 Statewide)

Telehealth Adoption Rate
1.3% 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: 2023-02-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA 61206262

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111524501 (WA)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 26, 2023

Registered at 12036 64TH AVE S, SEATTLE, WA 981783603 (Tel: 2067855898)

📍
Updated Practice Location September 23, 2021

Registered at 17825 59TH AVE NE STE B, ARLINGTON, WA 982236453 (Tel: 2067855898)

👤
Provider Name / Credentials Updated September 23, 2021

Recorded as SHELLY GRACE MARIANO, CCC-SLP

NPI Profile Active December 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2017

Registered at 218 S 38TH ST, TACOMA, WA 984187807 (Tel: 2069486666)

📍
Updated Business Mailing Address December 27, 2017

Registered at 12036 64TH AVE S, SEATTLE, WA 981783603

👤
Provider Name / Credentials Updated December 27, 2017

Recorded as SHELLY GRACE MARIANO, BA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2017

Behavior Analyst

🟢
Initial NPI Registration & Enumeration December 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063928125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2017
Last Update: February 26, 2023
Sole Proprietor: No

Mailing Address

12036 64th Ave S

Seattle, WA 981783603

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.