Organization
BELLEVUE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR KOGAN (OWNER)
(646) 598-7765
Entity
Organization
Contact information
Practice address
8115 226TH ST SW, EDMONDS, WA 98026-8267
(646) 598-7765
Mailing address
8115 226TH ST SW, EDMONDS, WA 98026-8267
(646) 598-7765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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