Healthcare Provider Details

I. General information

NPI: 1841082187
Provider Name (Legal Business Name): ASCEND ABA THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 SW 150TH ST APT 427
BURIEN WA
98166-2091
US

IV. Provider business mailing address

631 SW 150TH ST APT 427
BURIEN WA
98166-2091
US

V. Phone/Fax

Practice location:
  • Phone: 206-489-8079
  • Fax:
Mailing address:
  • Phone: 206-489-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED ALI
Title or Position: ADMINSTRATOR
Credential:
Phone: 206-489-8079