| NPI | 1750846861 |
|---|---|
| Other Name | EASTSIDE BEHAVIORAL CONSULTING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FOWLS Business Mgr 509-209-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2022-08-09 |