| Patterns Behavioral Services Utah, Inc. | |
|
19217 36th Ave W Ste 210 Linwood WA 98036 | |
| (657) 444-9002 | |
| Not Available |
| Full Name | Patterns Behavioral Services Utah, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19217 36th Ave W Ste 210, Linwood, Washington |
| Authorized Official Name and Position | Ihab Shahawi (CEO) |
| Authorized Official Contact | 6574449002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterns Behavioral Services Utah, Inc. 19217 36th Ave W Ste 210 Lynnwood WA 98036-5751 Ph: (360) 202-2554 | Patterns Behavioral Services Utah, Inc. 19217 36th Ave W Ste 210 Linwood WA 98036 Ph: (657) 444-9002 |
| NPI Number | 1669067633 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Certification Date | 01/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669067633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Collision Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 144 Pl Sw, Linwood, WA 98087 Phone: 425-217-3197 Fax: 425-740-1391 |