Provider Demographics
NPI:1083231765
Name:BEASLEY, KAREN LYNN (BCBA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 52ND ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-9236
Mailing Address - Country:US
Mailing Address - Phone:425-238-6444
Mailing Address - Fax:
Practice Address - Street 1:9401 52ND ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-9236
Practice Address - Country:US
Practice Address - Phone:425-238-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst