| Behavior Bridges | |
|
17404 Meridian E Suite F125 Puyallup WA 98375-6234 | |
| (253) 262-3409 | |
| Not Available |
| Full Name | Behavior Bridges |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17404 Meridian E, Puyallup, Washington |
| Authorized Official Name and Position | Laura B. O'rourke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2532623409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Bridges 17404 Meridian E Suite F125 Puyallup WA 98375-6234 Ph: (253) 262-3409 | Behavior Bridges 17404 Meridian E Suite F125 Puyallup WA 98375-6234 Ph: (253) 262-3409 |
| NPI Number | 1508237702 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508237702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60579014 (Washington) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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