Whitehead, Elizabeth

Whitehead, Elizabeth is an individual health care provider with primary practice located at 20818 44Th Ave W Ste 270 , Lynnwood WA 98036-7709. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Whitehead, Elizabeth can be contacted via phone (425) 712-0802.

Contact Information

Primary practice address
20818 44Th Ave W Ste 270 Lynnwood WA 98036-7709
Phone: (425) 712-0802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CB60765092 Washington
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X AB60812254 Washington

Profile Details

NPI number 1043663230
LBN Legal business name Whitehead, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Dec 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043663230 NPPES
Washington MEDICAID 2063578

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