Provider Demographics
NPI:1831958826
Name:BREATH ABA LLC
Entity type:Organization
Organization Name:BREATH ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CROCHET
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:206-900-3929
Mailing Address - Street 1:1100 BELEVUE WAY NE STE 8A
Mailing Address - Street 2:#249
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:206-900-3929
Mailing Address - Fax:
Practice Address - Street 1:2401 S JACKSON ST APT 2003
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2495
Practice Address - Country:US
Practice Address - Phone:206-900-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health