Healthcare Provider Details

I. General information

NPI: 1831958826
Provider Name (Legal Business Name): BREATH ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 139TH AVE SE STE 500
BELLEVUE WA
98005-4486
US

IV. Provider business mailing address

1100 BELLEVUE WAY NE STE 8A PMB 249
BELLEVUE WA
98004
US

V. Phone/Fax

Practice location:
  • Phone: 425-429-4222
  • Fax:
Mailing address:
  • Phone: 425-429-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DAVID CROCHET
Title or Position: DIRECTOR/BEHAVIOR ANALYST
Credential: BCBA, LBA
Phone: 425-429-4222