| Imagine Behavioral And Developmental Services | |
|
9720 S Tacoma Way Tacoma WA 98499-4456 | |
| (253) 682-0320 | |
| Not Available |
| Full Name | Imagine Behavioral And Developmental Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9720 S Tacoma Way, Tacoma, Washington |
| Authorized Official Name and Position | Nikki Pagel (CREDENTIALING) |
| Authorized Official Contact | 5092092696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Behavioral And Developmental Services 901 N Monroe St Ste 200 Spokane WA 99201-2148 Ph: (509) 328-2740 | Imagine Behavioral And Developmental Services 9720 S Tacoma Way Tacoma WA 98499-4456 Ph: (253) 682-0320 |
| NPI Number | 1043619638 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043619638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | CG60490737 (Washington) | Primary |
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