Healthcare Provider Details

I. General information

NPI: 1245988104
Provider Name (Legal Business Name): MAGDALENA SUSAN STENCHEVER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date: 03/03/2025
Reactivation Date: 04/16/2025

III. Provider practice location address

19803 N CREEK PKWY STE 201
BOTHELL WA
98011-5014
US

IV. Provider business mailing address

19803 N CREEK PKWY STE 200
BOTHELL WA
98011-5014
US

V. Phone/Fax

Practice location:
  • Phone: 425-500-4280
  • Fax:
Mailing address:
  • Phone: 425-500-4280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-78867
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: