Healthcare Provider Details

I. General information

NPI: 1023902004
Provider Name (Legal Business Name): BENSON BEHAVIORAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10311 NE 190TH ST
BOTHELL WA
98011-2916
US

IV. Provider business mailing address

10311 NE 190TH ST
BOTHELL WA
98011-2916
US

V. Phone/Fax

Practice location:
  • Phone: 206-953-1415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
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: ANDREA REINHOLZ
Title or Position: BCBA/FOUNDER AND CLINICAL DIRECTOR
Credential: LBA
Phone: 206-953-1415