Organization
FOUNDATIONS FOR LEARNING AND BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOHNSON (DIRECTOR)
(425) 242-0973
Entity
Organization
Contact information
Practice address
16715 NE 79TH ST, REDMOND, WA 98052-4425
(425) 242-0973
Mailing address
16715 NE 79TH ST, REDMOND, WA 98052-4425
(425) 242-0973
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
602-959-655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602-959-655
—
WA
Enumeration date
03/26/2013
Last updated
03/26/2013
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