Provider Demographics
NPI:1265710933
Name:ORGANIZATION FOR RESEARCH AND LEARNING, INC
Entity type:Organization
Organization Name:ORGANIZATION FOR RESEARCH AND LEARNING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL SERVICES SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JAYE
Authorized Official - Last Name:FERRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:206-427-7697
Mailing Address - Street 1:3815 S OTHELLO STREET
Mailing Address - Street 2:SUITE 100, BOX 361
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3510
Mailing Address - Country:US
Mailing Address - Phone:206-427-7697
Mailing Address - Fax:206-299-9327
Practice Address - Street 1:12430 83RD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-4918
Practice Address - Country:US
Practice Address - Phone:206-427-7697
Practice Address - Fax:206-299-9327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-03-1282103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty