Provider Demographics
NPI:1083325195
Name:CARPENTIER, PASCALE BEATRIZ
Entity type:Individual
Prefix:
First Name:PASCALE
Middle Name:BEATRIZ
Last Name:CARPENTIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 106TH AVE NE UNIT 3211
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8691
Mailing Address - Country:US
Mailing Address - Phone:425-373-6858
Mailing Address - Fax:
Practice Address - Street 1:500 106TH AVE NE UNIT 3211
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8691
Practice Address - Country:US
Practice Address - Phone:425-373-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
WABA61676816103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician