Provider Demographics
NPI:1528459187
Name:CRIPE, PAMELA ELAINE
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ELAINE
Last Name:CRIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 CRYSTAL LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-2429
Mailing Address - Country:US
Mailing Address - Phone:206-349-0248
Mailing Address - Fax:
Practice Address - Street 1:10020 166TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3010
Practice Address - Country:US
Practice Address - Phone:425-499-7202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician