NPI 1306462379 · live from the CMS NPI Registry
B.A.N.D.S.
Behavior Analyst in Seattle, WA. National Provider Identifier 1306462379, active.
NPI record
| NPI | 1306462379 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 819 Virginia St Unit 1603, Seattle, WA 98101 |
| Practice phone | 206-618-4673 |
| Mailing address | 2324 177th Street Ct E, Tacoma, WA 98445 |
| Enumerated | June 24, 2020 |
| Last updated | June 24, 2020 |
| Authorized official | Graydon Agar, Board Certified Behavior Analyst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.