Autism Behavioral Consulting | |
10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 | |
(360) 524-3440 | |
(360) 989-3972 |
Full Name | Autism Behavioral Consulting |
---|---|
Speciality | Behavior Analyst |
Location | 10000 Ne 7th Ave, Vancouver, Washington |
Authorized Official Name and Position | Audra K Jensen (BEHAVIOR ANALYST) |
Authorized Official Contact | 3605243440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Behavioral Consulting 10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 Ph: (360) 524-3440 | Autism Behavioral Consulting 10000 Ne 7th Ave Suite 110 Vancouver WA 98685-4599 Ph: (360) 524-3440 |
NPI Number | 1154611143 |
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Provider Enumeration Date | 04/12/2011 |
Last Update Date | 01/10/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154611143 | NPI | - | NPPES |
1-07-3826 | Other | BOARD CERTIFIED BEHAVIOR ANALYST | |
CL60158252 | Other | WA | WASHINGTON STATE CERTIFIED COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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