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Organization

MYBESTBEHAVIOR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY ROGERS (ONSITE SUPERVISOR)
(360) 751-5096
Entity
Organization

Contact information

Practice address
1220 MAIN ST STE 424, VANCOUVER, WA 98660-2953
(360) 751-5096
Mailing address
1220 MAIN ST STE 424, VANCOUVER, WA 98660-2953
(360) 751-5096

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17447
CA
251C00000X
Developmentally Disabled Services Day Training Agency
CL60641699
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206877701
WA
Enumeration date
12/22/2016
Last updated
12/22/2016
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