| Foundations For Learning And Behavior Dba Eastside Aba | |
|
15600 Redmond Way Suite 302 Redmond WA 98052-3862 | |
| (425) 242-0973 | |
| (425) 650-6916 |
| Full Name | Foundations For Learning And Behavior Dba Eastside Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15600 Redmond Way Suite 302, Redmond, Washington |
| Authorized Official Name and Position | April Vian (EXECUTIVE DIRECTOR (OWNER)) |
| Authorized Official Contact | 4262420973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations For Learning And Behavior Dba Eastside Aba 15600 Redmond Way Suite 302 Redmond WA 98052-3862 Ph: (425) 242-0973 | Foundations For Learning And Behavior Dba Eastside Aba 15600 Redmond Way Suite 302 Redmond WA 98052-3862 Ph: (425) 242-0973 |
| NPI Number | 1144555426 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144555426 | NPI | - | NPPES |
| 1-06-2882 | Other | WA | BEHAVIOR ANALYST CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-06-2882 (Washington) | Primary |
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