Alexis Angell

Individual provider Active NPI Behavior Analyst · Issaquah, WA

NPI 1609250091 · NPPES record last updated Jul 15, 2015

Key facts

NPI
1609250091
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
CG60563379 (WA)
Practice address
1871 NW Gilman Blvd # 2
Issaquah, WA 98027-8116
Phone
(425) 657-0620
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CG60563379WAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CG60563379 WA Yes

Addresses

Primary practice location

1871 NW Gilman Blvd # 2
Issaquah, WA 98027-8116

Mailing address

1871 NW Gilman Blvd # 2
Issaquah, WA 98027-8116

Other providers in Issaquah, WA

All providers in Issaquah, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.