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Deactivated NPI 1780322545 Deactivated / Inactive NPI Male Practitioner

Dustin Kohorn

Behavior Technician • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dustin Kohorn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2022
NPI Deactivation Date December 19, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Dustin Kohorn was a registered Behavior Technician practicing in Tacoma, WA. Throughout an active medical career spanning 2 years, Dustin Kohorn provided care at the practice location at 3837 S 12TH ST until profile deactivation on 2024-12-19.

Practice Location & Contact Primary Location

Practice Address

3837 S 12th St

Tacoma, WA 984052138

Telephone 2532350156
Associated Practice Facility / Clinic
🏢 Jon M Pettibon Dc Inc Ps Facility NPI 1659644672

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Tacoma, WA

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

Practicing in Tacoma, 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

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Ian Hamilton

Behavior Technician

NPI 1215698725
Molly Perras

Behavior Technician

NPI 1306508064
Sydney Gibson

Behavior Technician

NPI 1497425078

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 19, 2024

Record deactivated on December 19, 2024

NPI Profile Active May 23, 2022

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2022

Registered at 3837 S 12TH ST, TACOMA, WA 984052138 (Tel: 2532350156)

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Updated Business Mailing Address May 23, 2022

Registered at 613 N UNION AVE, TACOMA, WA 984065431 (Tel: 7148332060)

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Provider Name / Credentials Updated May 23, 2022

Recorded as DUSTIN KOHORN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2022

Behavior Technician

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Initial NPI Registration & Enumeration May 23, 2022

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: 1780322545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2022
Last Update: May 23, 2022
Deactivation Date: December 19, 2024

Mailing Address

613 N Union Ave

Tacoma, WA 984065431

Phone: 7148332060

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.