Provider Demographics
NPI:1386340008
Name:BEHAVIOR CUSP, LLC
Entity type:Organization
Organization Name:BEHAVIOR CUSP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, ABA
Authorized Official - Phone:509-899-4430
Mailing Address - Street 1:205 15TH AVE SW STE A
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-7873
Mailing Address - Country:US
Mailing Address - Phone:509-899-4430
Mailing Address - Fax:877-682-9319
Practice Address - Street 1:205 15TH AVE SW STE A
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-7873
Practice Address - Country:US
Practice Address - Phone:509-899-4430
Practice Address - Fax:877-682-9319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty