NPI 1750995072 · live from the CMS NPI Registry
Ascension Behavioral Services, LLC
Behavior Analyst in Issaquah, WA. National Provider Identifier 1750995072, active.
NPI record
| NPI | 1750995072 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 350 Se Andrews St, Issaquah, WA 98027 |
| Practice phone | 248-412-3964 |
| Mailing address | 1567 Highlands Dr Ne Ste 110, Issaquah, WA 98029 |
| Enumerated | September 3, 2020 |
| Last updated | September 3, 2020 |
| Authorized official | Christen Rae, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.