| Evergreen Pathways Llc | |
|
10031 Se 258th Pl Kent WA 98030-2887 | |
| (614) 867-7520 | |
| Not Available |
| Full Name | Evergreen Pathways Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10031 Se 258th Pl, Kent, Washington |
| Authorized Official Name and Position | Hussein Ali (MEMBER) |
| Authorized Official Contact | 6148677520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Pathways Llc 10031 Se 258th Pl Kent WA 98030-2887 Ph: (614) 867-7520 | Evergreen Pathways Llc 10031 Se 258th Pl Kent WA 98030-2887 Ph: (614) 867-7520 |
| NPI Number | 1083586937 |
|---|---|
| Provider Enumeration Date | 09/20/2025 |
| Last Update Date | 09/20/2025 |
| Certification Date | 09/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083586937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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