Healthcare Provider Details

I. General information

NPI: 1780509182
Provider Name (Legal Business Name): BEEHAVE ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7722 CENTER BLVD SE
SNOQUALMIE WA
98065-8993
US

IV. Provider business mailing address

5824 168TH PL SE
BELLEVUE WA
98006-5605
US

V. Phone/Fax

Practice location:
  • Phone: 425-754-6276
  • Fax:
Mailing address:
  • Phone: 425-754-6276
  • 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 Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: AMBERRAE BRANTLEY
Title or Position: OWNER/ CEO
Credential: BCBA
Phone: 425-754-6276