Doctor Name: | MS. WENDY JEANETTE KNOWLES |
NPI Number: | 1679819635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., BCBA. C.C. |
License Number: | CL 60160647 |
Business Practice Address: | 3003 Northup Way Suite 200 Bellevue, WA - 980041471 |
Business Phone Number: | 4258226442 |
Business Fax Number: | 4258283101 |
Mailing Address: | 3003 Northup Way, Suite 200 BELLEVUE |
State: | WA |
Postal Code: | 980041471 |
Phone Number: | 4258226442 |
Fax Number: | 4258283101 |
NPI Enumeration Date: | 12/19/2012 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CL 60160647 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |