Provider Demographics
NPI:1952900664
Name:WASHINGTON BEHAVIOR SPECIALISTS LLC
Entity Type:Organization
Organization Name:WASHINGTON BEHAVIOR SPECIALISTS LLC
Other - Org Name:WASHINGTON BEHAVIOR SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NADELA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:206-480-6344
Mailing Address - Street 1:15428 SE 252ND PL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4192
Mailing Address - Country:US
Mailing Address - Phone:206-480-6344
Mailing Address - Fax:
Practice Address - Street 1:110 2ND ST SW STE 140
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-5203
Practice Address - Country:US
Practice Address - Phone:253-737-5078
Practice Address - Fax:253-216-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty