| NPI | 1932687704 |
|---|---|
| Doing Business As | YELLOW BRICK CLINIC: ADHD, AUTISM, DEVELOPMENTAL BEHAVIORAL HEALTH |
| Doing Business As | YELLOW BRICK CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ELIZABETH JOHNSON Nurse Practitioner 425-777-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60786815) | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-04-27 |