Provider Demographics
NPI:1477069003
Name:DOWNIE, LINDSEY (RBT, BCBA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DOWNIE
Suffix:
Gender:F
Credentials:RBT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2416
Mailing Address - Country:US
Mailing Address - Phone:253-677-7780
Mailing Address - Fax:
Practice Address - Street 1:3011 S 15TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2416
Practice Address - Country:US
Practice Address - Phone:253-677-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACB60778456106S00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician