Organization
AUTISM BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA K JENSEN M.ED., BCBA (BEHAVIOR ANALYST)
(360) 524-3440
Entity
Organization
Contact information
Practice address
10000 NE 7TH AVE, SUITE 110, VANCOUVER, WA 98685-4599
(360) 524-3440
(360) 989-3972
Mailing address
10000 NE 7TH AVE, SUITE 110, VANCOUVER, WA 98685-4599
(360) 524-3440
(360) 989-3972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3826
BOARD CERTIFIED BEHAVIOR ANALYST
—
01
—
CL60158252
WASHINGTON STATE CERTIFIED COUNSELOR
WA
Enumeration date
04/12/2011
Last updated
01/10/2012
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