Provider Demographics
NPI:1134429889
Name:CHILD ENRICHMENT CENTER
Entity type:Organization
Organization Name:CHILD ENRICHMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-392-3834
Mailing Address - Street 1:552 N COLORADO ST STE 210
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7781
Mailing Address - Country:US
Mailing Address - Phone:509-392-3834
Mailing Address - Fax:
Practice Address - Street 1:552 N COLORADO ST STE 210
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7781
Practice Address - Country:US
Practice Address - Phone:509-392-3834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center