| Elements Behavior Support, Pllc | |
|
12111 56th Pl Se Snohomish WA 98290-5500 | |
| (425) 971-8893 | |
| Not Available |
| Full Name | Elements Behavior Support, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12111 56th Pl Se, Snohomish, Washington |
| Authorized Official Name and Position | Kyla Tawney (OWNER) |
| Authorized Official Contact | 4259718893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Behavior Support, Pllc 12111 56th Pl Se Snohomish WA 98290-5500 Ph: (425) 971-8893 | Elements Behavior Support, Pllc 12111 56th Pl Se Snohomish WA 98290-5500 Ph: (425) 971-8893 |
| NPI Number | 1225744774 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225744774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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