NPI 1124911797

Willow Behavior Therapy LLC

Organisation Behavior Analyst Seattle, WA

Practice location

Address: 4616 SW Frontenac St, Seattle, WA 98136-1737
Phone: (425) 345-7114
Mailing address: 6523 California Ave SW STE 19, Seattle, WA 98136-1833

Authorised official

Name: McCullough R Chastain
Title: Ceo
Phone: (425) 345-7114

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1124911797
Entity type: Organization
NPI issued: 2 Jun 2025
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.