Mybestbehavior, Llc | |
1220 Main St Ste 424 Vancouver WA 98660-2953 | |
(360) 751-5096 | |
Not Available |
Full Name | Mybestbehavior, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1220 Main St Ste 424, Vancouver, Washington |
Authorized Official Name and Position | Molly Rogers (ONSITE SUPERVISOR) |
Authorized Official Contact | 3607515096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mybestbehavior, Llc 1220 Main St Ste 424 Vancouver WA 98660-2953 Ph: (360) 751-5096 | Mybestbehavior, Llc 1220 Main St Ste 424 Vancouver WA 98660-2953 Ph: (360) 751-5096 |
NPI Number | 1174068464 |
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Provider Enumeration Date | 12/22/2016 |
Last Update Date | 12/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174068464 | NPI | - | NPPES |
206877701 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-17447 (California) | Primary |
251C00000X | Day Training, Developmentally Disabled Services | CL60641699 (Washington) | Secondary |
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