Healthcare Provider Details

I. General information

NPI: 1437011038
Provider Name (Legal Business Name): CONTINUING BEHAVIOR SUPPORT TX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 SW 306TH ST
FEDERAL WAY WA
98023
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 253-250-5034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DEHLIA CONNOLLY
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 206-797-5116