NPI 1164835989
Momentum Behavioral Services LLC
Practice location
- Address
- 2317 24th Ave E, Seattle, WA 98112-2606
- Phone
- (206) 552-6724
- Mailing address
- 1801 E Jefferson St, Seattle, WA 98122-5743
Authorised official
- Name
- Neill Dorn
- Title
- Member
- Phone
- (206) 552-6724
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1164835989
- Entity type
- Organization
- NPI issued
- 9 Jun 2014
- Record last updated
- 23 Apr 2018
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.