Pacific Northwest Behavior, Llc

LBN: Pacific Northwest Behavior, Llc
Pacific Northwest Behavior, Llc is an health care organization with primary practice located at 1209 W 1St Ave , Spokane WA 99201-4101. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Pacific Northwest Behavior, Llc can be contacted via phone (509) 995-3388, or through Kennedy, Kourtney Lea via phone (509) 995-3388.

Contact Information

Primary practice address
1209 W 1St Ave Spokane WA 99201-4101
Phone: (509) 995-3388
Fax: (509) 321-4350
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Kourtney Lea LBA, BCBA
Phone: (509) 995-3388

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1275020547
LBN Legal business name Pacific Northwest Behavior, Llc
DBA Doing business as
Authorized official Kennedy, Kourtney Lea LBA, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2018
Last updated Jan 24th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275020547 NPPES
Washington MEDICAID 2100815

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