| Magnolia Behavior Therapy | |
|
3214 W Mcgraw St Suite 212 Seattle WA 98199-3239 | |
| (206) 453-4882 | |
| Not Available |
| Full Name | Magnolia Behavior Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3214 W Mcgraw St, Seattle, Washington |
| Authorized Official Name and Position | Mccullough Campbell (ADMINISTATOR) |
| Authorized Official Contact | 2064534882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Behavior Therapy 3214 W Mcgraw St Suite 212 Seattle WA 98199-3239 Ph: (206) 453-4882 | Magnolia Behavior Therapy 3214 W Mcgraw St Suite 212 Seattle WA 98199-3239 Ph: (206) 453-4882 |
| NPI Number | 1033583372 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033583372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | CG60618517 (Washington) | Primary |
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