| Radiant Change Behavioral Services Llc | |
|
2504 194th Street Ct E Spanaway WA 98387-8575 | |
| (509) 617-6613 | |
| (253) 276-7129 |
| Full Name | Radiant Change Behavioral Services Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2504 194th Street Ct E, Spanaway, Washington |
| Authorized Official Name and Position | Crystal Patrice Blades (OWNER) |
| Authorized Official Contact | 5096176613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Change Behavioral Services Llc 2504 194th Street Ct E Spanaway WA 98387-8575 Ph: (509) 617-6613 | Radiant Change Behavioral Services Llc 2504 194th Street Ct E Spanaway WA 98387-8575 Ph: (509) 617-6613 |
| NPI Number | 1982581351 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982581351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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