| Functional Adaptive And Behavioral Supports Llc | |
|
21055 Ne 91st St Redmond WA 98053-7616 | |
| (425) 301-7698 | |
| Not Available |
| Full Name | Functional Adaptive And Behavioral Supports Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21055 Ne 91st St, Redmond, Washington |
| Authorized Official Name and Position | Courtney Lynn Martin (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4253017698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Adaptive And Behavioral Supports Llc 21055 Ne 91st St Redmond WA 98053-7616 Ph: (425) 301-7698 | Functional Adaptive And Behavioral Supports Llc 21055 Ne 91st St Redmond WA 98053-7616 Ph: (425) 301-7698 |
| NPI Number | 1174367270 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174367270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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