Provider Demographics
NPI:1336958404
Name:BEHN, JOSHUA HOWARD (LSWAIC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HOWARD
Last Name:BEHN
Suffix:
Gender:M
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 164TH ST SW APT Z301
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-9228
Mailing Address - Country:US
Mailing Address - Phone:801-915-4350
Mailing Address - Fax:
Practice Address - Street 1:4525 164TH ST SW APT Z301
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-9228
Practice Address - Country:US
Practice Address - Phone:801-915-4350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC616459191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical