Blueprints | |
910 S. Horton St. Unit 703 Seattle WA 98134 | |
(206) 905-4660 | |
(206) 577-1101 |
Full Name | Blueprints |
---|---|
Speciality | Behavior Analyst |
Location | 910 S. Horton St., Seattle, Washington |
Authorized Official Name and Position | Shane David Isley (CEO/PRESIDENT) |
Authorized Official Contact | 2063600633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blueprints 24 Roy Street #434 Seattle WA 98109 Ph: (206) 905-4660 | Blueprints 910 S. Horton St. Unit 703 Seattle WA 98134 Ph: (206) 905-4660 |
NPI Number | 1003156324 |
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Provider Enumeration Date | 02/22/2013 |
Last Update Date | 11/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003156324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-11-9353 (* (Not Available)) | Primary |
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