| Brighttrek Aba Therapy | |
|
4425 Issaquah Pine Lake Rd Se Apt X7 Sammamish WA 98075-6218 | |
| (206) 708-5084 | |
| Not Available |
| Full Name | Brighttrek Aba Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4425 Issaquah Pine Lake Rd Se Apt X7, Sammamish, Washington |
| Authorized Official Name and Position | Jenean Creason (BCBA) |
| Authorized Official Contact | 2067085084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighttrek Aba Therapy 4425 Issaquah Pine Lake Rd Se Apt X7 Sammamish WA 98075-6218 Ph: () - | Brighttrek Aba Therapy 4425 Issaquah Pine Lake Rd Se Apt X7 Sammamish WA 98075-6218 Ph: (206) 708-5084 |
| NPI Number | 1649031907 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649031907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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