Foundations for Learning and Behavior Dba Eastside ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-06-2882 Issued in WA

Legal business name

FOUNDATIONS FOR LEARNING AND BEHAVIOR DBA EASTSIDE ABA

Practice address

15600 Redmond Way Suite 302
Redmond, WA 98052-3862

Phone

(425) 242-0973

Fax

(425) 650-6916

NPI assigned

Oct 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

April Vian

Title

Executive Director (Owner)

Phone

(426) 242-0973

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Foundations for Learning and Behavior2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Foundations for Learning and Behavior

  • Community/Behavioral Health Agency
  • Redmond, WA
  • NPI 1194067231
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1144555426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY SUITE 302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "425-242-0973",
            "fax_number": "425-650-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY SUITE 302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "425-242-0973",
            "fax_number": "425-650-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR LEARNING AND BEHAVIOR DBA EASTSIDE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "VIAN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR (OWNER)",
        "authorized_official_telephone_number": "426-242-0973"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-06-2882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION NUMBER",
            "identifier": "1-06-2882",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonobie Ford, LMHCA
• Paula Lorrell Forehand, LMP
• Jeffrey Alan Forrey, O.D.
• Mary K Fors, R.PH
• Foundations for Learning and Behavior
• Carolyn Wellborn Fowler, DPT
• Michele Fowler, PT
• Shannon J Fox
• Jennifer Frank-Doggett, MA, LMHC
• Gina Frank, MSW, LSWAIC

• Behavior Analyst in Redmond, WA
• Providers in Redmond, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.