# MOMENTUM BEHAVIORAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164835989
- **Authorized official:** MR. NEILL DORN BCBA (MEMBER)
- **Authorized official phone:** (206) 552-6724

## Contact information

- **Practice address:** 2317 24TH AVE E, SEATTLE, WA 98112-2606
- **Practice address phone:** (206) 552-6724
- **Mailing address:** 1801 E JEFFERSON ST, SEATTLE, WA 98122-5743
- **Mailing address phone:** (206) 552-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 04/23/2018