Healthcare Provider Details

I. General information

NPI: 1760205207
Provider Name (Legal Business Name): HUCKLEBERRY BEHAVIORAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 19TH AVE E STE 200
SEATTLE WA
98112-4075
US

IV. Provider business mailing address

3105 E PINE ST
SEATTLE WA
98122-3263
US

V. Phone/Fax

Practice location:
  • Phone: 206-631-0274
  • Fax: 206-374-2547
Mailing address:
  • Phone: 206-631-0274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY MORGAN YOUNG
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 206-631-0274