Organization
WONDERLAND CHILD & FAMILY SERVICES
Active
Other names
Wonderland Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JOHNSON (BILLING SPECIALIST)
(206) 364-3777
Entity
Organization
Contact information
Practice address
2402 NW 195TH PL, SHORELINE, WA 98177-2932
(206) 364-3777
(206) 364-3999
Mailing address
1909 214TH ST SE STE 204, BOTHELL, WA 98021-4415
(425) 219-4788
(425) 219-4790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768265
—
WA
Enumeration date
07/03/2019
Last updated
08/16/2019
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