Provider Demographics
NPI:1558159749
Name:LINGLE, ISABELLE JEAN (N/A)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:JEAN
Last Name:LINGLE
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22415 SE 231ST ST SUITE B-102
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038
Mailing Address - Country:US
Mailing Address - Phone:425-906-4300
Mailing Address - Fax:
Practice Address - Street 1:22415 SE 231ST ST SUITE B-102
Practice Address - Street 2:22415 SE 231ST ST SUITE B-102
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-9803
Practice Address - Country:US
Practice Address - Phone:425-906-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician