Healthcare Provider Details

I. General information

NPI: 1124669445
Provider Name (Legal Business Name): CHLOE GRUENDEMAN RBT/LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 112TH AVE NE STE 206
BELLEVUE WA
98004-3759
US

IV. Provider business mailing address

1380 112TH AVE NE STE 206
BELLEVUE WA
98004-3759
US

V. Phone/Fax

Practice location:
  • Phone: 425-754-5135
  • Fax:
Mailing address:
  • Phone: 425-754-5135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: