Provider Demographics
NPI:1477120830
Name:ASCENT BEHAVIOR CONSULTING LLC
Entity Type:Organization
Organization Name:ASCENT BEHAVIOR CONSULTING LLC
Other - Org Name:ASCENT BEHAVIOR CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLACKMON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:972-921-8285
Mailing Address - Street 1:PO BOX 1124
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-1124
Mailing Address - Country:US
Mailing Address - Phone:206-306-9630
Mailing Address - Fax:
Practice Address - Street 1:4427 51ST AVE S UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1431
Practice Address - Country:US
Practice Address - Phone:972-921-8285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty