Radiant Change Behavioral Services LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

RADIANT CHANGE BEHAVIORAL SERVICES LLC

Practice address

2504 194TH Street CT E
Spanaway, WA 98387-8575

Phone

(509) 617-6613

Fax

(253) 276-7129

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Patrice Blades, M. ED.NPI 1477018778

Title

Owner

Phone

(509) 617-6613

Specialties & licenses 1

Addresses

Other names 1

• Radiant Change Behavioral Services LLC Doing business as

Practitioners 1

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

• Crystal Patrice Blades

  • Behavior Technician
  • Tacoma, WA
  • NPI 1477018778
  NPD Authorized official

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1982581351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 194TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878575",
            "telephone_number": "509-617-6613",
            "fax_number": "253-276-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 194TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878575",
            "telephone_number": "509-617-6613",
            "fax_number": "253-276-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT CHANGE BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BLADES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-617-6613",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Change Behavioral Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yekaterina Polyakova, R.N.
• Kaneetah Velma Pridgen, MA-P
• Victoria Anne Purnell, MSW
• Scott Putman
• John Richard Quigley Jr., D.C.
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• Rally Physical Therapy P S
• Signia A Ray, P.T.
• Toni Re, LMP
• Recovery Services

• Behavior Technician in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.