Willow Behavior Therapy LLC
NPI #1124911797 in Seattle, Washington
Provider Information
- NPI Number
- 1124911797
- Entity Type
- Organization
- Organization Name
- Willow Behavior Therapy LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jun 2, 2025
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 4616 SW FRONTENAC ST
- City
- Seattle
- State
- Washington
- ZIP Code
- 98136-1737
- Phone
- (425) 345-7114
Authorized Official
- Name
- MCCULLOUGH R CHASTAIN
- Title
- CEO
- Phone
- (425) 345-7114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assistant Behavior Analyst |
| Behavior Technician |
| Behavior Analyst |
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| MR. Neill Dorn, BCBA |
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