Provider Demographics
NPI:1316626948
Name:BE OT, PLLC
Entity type:Organization
Organization Name:BE OT, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:415-525-0659
Mailing Address - Street 1:8709 382ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9623
Mailing Address - Country:US
Mailing Address - Phone:206-485-0744
Mailing Address - Fax:
Practice Address - Street 1:8709 382ND AVE SE
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9623
Practice Address - Country:US
Practice Address - Phone:206-485-0744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health