Organization
BEHAVIOR BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA B. O'ROURKE M.S., BCBA (EXECUTIVE DIRECTOR)
(253) 262-3409
Entity
Organization
Contact information
Practice address
17404 MERIDIAN E, SUITE F125, PUYALLUP, WA 98375-6234
(253) 262-3409
Mailing address
17404 MERIDIAN E, SUITE F125, PUYALLUP, WA 98375-6234
(253) 262-3409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60579014
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
01/26/2016
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