Provider Demographics
NPI:1073236311
Name:NEUROINCLUSIVE CONTEXTUAL BEHAVIOR COALITION
Entity type:Organization
Organization Name:NEUROINCLUSIVE CONTEXTUAL BEHAVIOR COALITION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:COIMBRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA, IBA
Authorized Official - Phone:206-580-3530
Mailing Address - Street 1:330 SE CESAR E CHAVEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2069
Mailing Address - Country:US
Mailing Address - Phone:206-580-3530
Mailing Address - Fax:206-492-2235
Practice Address - Street 1:100 N HOWARD ST STE 6444
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:206-580-3530
Practice Address - Fax:206-492-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty