Organization
FUNCTIONAL ADAPTIVE AND BEHAVIORAL SUPPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COURTNEY LYNN MARTIN BCBA (OWNER/EXECUTIVE DIRECTOR)
(425) 301-7698
Entity
Organization
Contact information
Practice address
21055 NE 91ST ST, REDMOND, WA 98053-7616
(425) 301-7698
Mailing address
21055 NE 91ST ST, REDMOND, WA 98053-7616
(425) 301-7698
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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