Provider Demographics
NPI:1710664552
Name:BEHAR, ABIGAIL ANNE (LSWAIC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANNE
Last Name:BEHAR
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANNE
Other - Last Name:BEHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9305 244TH ST SW APT M205
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-7503
Mailing Address - Country:US
Mailing Address - Phone:781-864-1665
Mailing Address - Fax:
Practice Address - Street 1:1100 NE 45TH ST STE 600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4696
Practice Address - Country:US
Practice Address - Phone:206-926-9087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC613924701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical