Provider Demographics
NPI:1528371226
Name:MAGNOLIA CONSULTING
Entity type:Organization
Organization Name:MAGNOLIA CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:N
Authorized Official - Last Name:PAMPINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:425-422-5521
Mailing Address - Street 1:8321 28TH ST NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-6443
Mailing Address - Country:US
Mailing Address - Phone:425-422-5521
Mailing Address - Fax:888-874-4807
Practice Address - Street 1:8321 28TH ST NE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-6443
Practice Address - Country:US
Practice Address - Phone:425-422-5521
Practice Address - Fax:888-874-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041648103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty