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ADAPTIVE BRAIN SPEECH THERAPY, PLLC

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Company Details

Legal Name: ADAPTIVE BRAIN SPEECH THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 12th 2021
Expiration date: 30 Apr 2026
UBI Number: 604 742 412
ZIP code: 98105
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4616 25TH AVE NE #428, SEATTLE, WA, 98105, UNITED STATES

Contact Details

E-Mail: EMILY@ADAPTIVEBRAINSPEECHTHERAPY.COM
Phone Number: +1 425-330-9063

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
EMILY HANSEN Registered Agent 5057 HAROLD PL NE, SEATTLE, WA, 98105-2808, UNITED STATES

Key Officers & Management

Name Role Address
EMILY HANSEN Executor 5057 HAROLD PL NE, SEATTLE, WA, 98105-2808, UNITED STATES
EMILY HANSEN Governing Person 5057 HAROLD PL NE, SEATTLE, WA, 98105, UNITED STATES

National Provider Identifier

NPI Number:
1043885817
Certification Date:
2021-10-28

Authorized Person:

Name:
EMILY CLARE HANSEN
Role:
SPEECH LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

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