| Eastside Behavioral Consulting | |
|
317 Nw Gilman Blvd #50 Issaquah WA 98027 | |
| (425) 459-5214 | |
| Not Available |
| Full Name | Eastside Behavioral Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 317 Nw Gilman Blvd #50, Issaquah, Washington |
| Authorized Official Name and Position | Michael Fowls (BUSINESS MGR) |
| Authorized Official Contact | 5092093177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Behavioral Consulting 317 Nw Gilman Blvd #50 Issaquah WA 98027 Ph: (206) 799-7831 | Eastside Behavioral Consulting 317 Nw Gilman Blvd #50 Issaquah WA 98027 Ph: (425) 459-5214 |
| NPI Number | 1750846861 |
|---|---|
| Provider Enumeration Date | 02/02/2019 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750846861 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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