Healthcare Provider Details
I. General information
NPI: 1649079989
Provider Name (Legal Business Name): READY TO LEARN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 E INTERCITY AVE UNIT A
EVERETT WA
98208-2751
US
IV. Provider business mailing address
117 E INTERCITY AVE UNIT A
EVERETT WA
98208-2751
US
V. Phone/Fax
- Phone: 425-610-7293
- Fax:
- Phone: 425-610-7293
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KANDICE
ALYSSA
KNOPP
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: MS, BCBA, LBA
Phone: 425-610-7293