NPI 1104591551 · live from the CMS NPI Registry
Marissa Allen, BCBA, LBA
Behavior Analyst in Bellevue, WA. National Provider Identifier 1104591551, active.
NPI record
| NPI | 1104591551 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2310 130th Ave Ne Ste 100, Bellevue, WA 98005 |
| Practice phone | 425-882-8868 |
| Mailing address | 7016 15th Ave Nw Unit 113, Seattle, WA 98117 |
| Enumerated | August 9, 2021 |
| Last updated | April 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | LBA.BA.61555256 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.