Provider Demographics
NPI:1275259004
Name:WE PLAY ABA THERAPY LLC
Entity Type:Organization
Organization Name:WE PLAY ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:360-860-7529
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-0647
Mailing Address - Country:US
Mailing Address - Phone:360-540-3282
Mailing Address - Fax:
Practice Address - Street 1:26220 DUNGENESS AVE NE # C129
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:WA
Practice Address - Zip Code:98346-4518
Practice Address - Country:US
Practice Address - Phone:360-860-7529
Practice Address - Fax:360-972-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health