Healthcare Provider Details
I. General information
NPI: 1710345541
Provider Name (Legal Business Name): CALHOUN CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2016
Last Update Date: 02/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13530 LINDEN AVE N 305
SEATTLE WA
98133-7524
US
IV. Provider business mailing address
13530 LINDEN AVE N 305
SEATTLE WA
98133-7524
US
V. Phone/Fax
- Phone: 719-648-6672
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH60107430 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
ANGELA
A
CALHOUN
Title or Position: OWNER
Credential: DC, BCBA
Phone: 719-648-6672