Provider Demographics
NPI:1972171858
Name:BALANCED BEHAVIOR ABA, LLC.
Entity Type:Organization
Organization Name:BALANCED BEHAVIOR ABA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARHART
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:360-684-4566
Mailing Address - Street 1:6130 AQUARIUS AVE
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-9243
Mailing Address - Country:US
Mailing Address - Phone:360-684-4566
Mailing Address - Fax:360-326-2205
Practice Address - Street 1:6130 AQUARIUS AVE
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9243
Practice Address - Country:US
Practice Address - Phone:360-684-4566
Practice Address - Fax:360-326-2205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health