Healthcare Provider Details

I. General information

NPI: 1891684254
Provider Name (Legal Business Name): DELANEY BUSH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

1510 140TH AVE NE STE 100
BELLEVUE WA
98005-4572
US

V. Phone/Fax

Practice location:
  • Phone: 738-242-5543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: