Organization
MOMENTUM BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEILL DORN BCBA (MEMBER)
(206) 552-6724
Entity
Organization
Contact information
Practice address
2317 24TH AVE E, SEATTLE, WA 98112-2606
(206) 552-6724
Mailing address
1801 E JEFFERSON ST, SEATTLE, WA 98122-5743
(206) 552-6724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/09/2014
Last updated
04/23/2018
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