Provider Demographics
NPI:1922516764
Name:LET'S TALK AUTISM SERVICES LLC
Entity Type:Organization
Organization Name:LET'S TALK AUTISM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:360-801-2539
Mailing Address - Street 1:6140 BEAL PL NW
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-8729
Mailing Address - Country:US
Mailing Address - Phone:360-801-2539
Mailing Address - Fax:866-931-1606
Practice Address - Street 1:6140 BEAL PL NW
Practice Address - Street 2:
Practice Address - City:SEABECK
Practice Address - State:WA
Practice Address - Zip Code:98380-8729
Practice Address - Country:US
Practice Address - Phone:360-801-2539
Practice Address - Fax:866-931-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60759092103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467984948OtherNPI