Healthcare Provider Details
I. General information
NPI: 1073430971
Provider Name (Legal Business Name): BRIGHT STEPS NORTHWEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12218 N GREENE ST
MEAD WA
99021-7020
US
IV. Provider business mailing address
12218 N GREENE ST
MEAD WA
99021-7020
US
V. Phone/Fax
- Phone: 509-844-2375
- Fax:
- Phone: 509-844-2375
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BREE
A
CALHOUN
Title or Position: CEO
Credential: MS, LBA, BCBA
Phone: 509-844-2375