Functional Adaptive and Behavioral Supports LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FUNCTIONAL ADAPTIVE AND BEHAVIORAL SUPPORTS LLC

Practice address

21055 NE 91St St
Redmond, WA 98053-7616

Phone

(425) 301-7698

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Miss Courtney Lynn Martin, BCBANPI 1730514118

Title

Owner/Executive Director

Phone

(425) 301-7698

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Lynn Martin, BCBA

  • Behavior Analyst
  • Redmond, WA
  • NPI 1730514118
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1174367270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21055 NE 91ST ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980537616",
            "telephone_number": "425-301-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21055 NE 91ST ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980537616",
            "telephone_number": "425-301-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL ADAPTIVE AND BEHAVIORAL SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-301-7698",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Friele, PT, DPT
• Frost & Traxler DDS PLLC
• Daniel Frost, DDS
• Ronald E Frost, DDS
• Donna Rae Fujii, RPH
• Patricia Ann Funk, RDH
• John H. Fure, M.D.
• G Bryon Craig PLLC
• Susan Connell Gabica, MA, MED
• Elisa Gablehouse

• Community/Behavioral Health Agency in Redmond, WA
• Providers in Redmond, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.