Provider Demographics
NPI:1629896857
Name:SEIBEL, MATTHEW (CBT/RBT)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:SEIBEL
Suffix:
Gender:M
Credentials:CBT/RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 142ND AVE E APT D
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1213
Mailing Address - Country:US
Mailing Address - Phone:253-508-3096
Mailing Address - Fax:
Practice Address - Street 1:27121 174TH PL SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-4939
Practice Address - Country:US
Practice Address - Phone:425-399-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician