| The Behavior Place | |
|
18422 103rd Ave Ne Bothell WA 98011-3410 | |
| (425) 949-0801 | |
| (866) 764-2841 |
| Full Name | The Behavior Place |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18422 103rd Ave Ne, Bothell, Washington |
| Authorized Official Name and Position | Laura Trest (OWNER) |
| Authorized Official Contact | 5719707703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Behavior Place 18422 103rd Ave Ne Bothell WA 98011-3410 Ph: (425) 949-0801 | The Behavior Place 18422 103rd Ave Ne Bothell WA 98011-3410 Ph: (425) 949-0801 |
| NPI Number | 1902253388 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902253388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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