NPI 1003452020

Aidan McEntire

Practitioner Behavior Technician Bellevue, WA

Practice location

Address: 12729 Northup Way STE 23, Bellevue, WA 98005-1935
Phone: (866) 727-8274
Mailing address: 2550 N Hollywood Way STE 102, Burbank, CA 91505-5031

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence CB61017733 (WA)

Other Behavior Technician providers in Washington →

Registry record

NPI: 1003452020
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 2019

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.