| Willow Behavior Therapy Llc | |
|
4616 Sw Frontenac St Seattle WA 98136-1737 | |
| (425) 345-7114 | |
| Not Available |
| Full Name | Willow Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4616 Sw Frontenac St, Seattle, Washington |
| Authorized Official Name and Position | Mccullough R Chastain (CEO) |
| Authorized Official Contact | 4253457114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Behavior Therapy Llc 4616 Sw Frontenac St Seattle WA 98136-1737 Ph: (425) 345-7114 | Willow Behavior Therapy Llc 4616 Sw Frontenac St Seattle WA 98136-1737 Ph: (425) 345-7114 |
| NPI Number | 1124911797 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124911797 | NPI | - | NPPES |
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