Foundations For Learning And Behavior Dba Eastside Aba | |
15600 Redmond Way Suite 302 Redmond WA 98052-3862 | |
(425) 242-0973 | |
(425) 650-6916 |
Full Name | Foundations For Learning And Behavior Dba Eastside Aba |
---|---|
Speciality | Behavior Analyst |
Location | 15600 Redmond Way Suite 302, Redmond, Washington |
Authorized Official Name and Position | April Vian (EXECUTIVE DIRECTOR (OWNER)) |
Authorized Official Contact | 4262420973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundations For Learning And Behavior Dba Eastside Aba 15600 Redmond Way Suite 302 Redmond WA 98052-3862 Ph: (425) 242-0973 | Foundations For Learning And Behavior Dba Eastside Aba 15600 Redmond Way Suite 302 Redmond WA 98052-3862 Ph: (425) 242-0973 |
NPI Number | 1144555426 |
---|---|
Provider Enumeration Date | 10/05/2009 |
Last Update Date | 10/12/2022 |
Certification Date | 10/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144555426 | NPI | - | NPPES |
1-06-2882 | Other | WA | BEHAVIOR ANALYST CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-06-2882 (Washington) | Primary |
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