Organization
DEVELOPMENTAL SERVICES AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY ROBERTS M.S., BCBA, LBA (AGENCY DIRECTOR)
(951) 533-6622
Entity
Organization
Contact information
Practice address
12009 NE 99TH ST STE 1430, VANCOUVER, WA 98682-2497
(360) 524-2144
Mailing address
12009 NE 99TH ST STE 1430, VANCOUVER, WA 98682-2497
(360) 984-8047
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083958797
—
CA
05
—
1215318068
—
WA
05
—
1346775020
—
FL
05
—
1457714966
—
WA
05
—
1568998730
—
WA
Enumeration date
02/13/2020
Last updated
07/08/2024
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