MEDICARE: BEHAVIORAL AND EDUCATIONAL CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1598104606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL AND EDUCATIONAL CONSULTANTS

Provider Business Mailing Address
First Line	:	714 CHERRY ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1925
Country	:	US
Telephone Number	:	206-557-2772
Fax Number	:	206-467-5989

Provider Business Practice Location Address
First Line	:	714 CHERRY ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1925
Country	:	US
Telephone Number	:	206-557-2772
Fax Number	:	206-467-5989

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH L DELAUNE
Credential	:	M.ED., CC, MHP
Telephone Number	:	206-557-2772

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	06/21/2013

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