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FUNCTIONAL ADAPTIVE AND BEHAVIORAL SUPPORTS LLC

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Company Details

Legal Name: FUNCTIONAL ADAPTIVE AND BEHAVIORAL SUPPORTS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 1st 2017
Expiration date: 31 Jan 2026
UBI Number: 604 072 238
ZIP code: 98053
City: Redmond
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 21055 NE 91ST ST, REDMOND, WA, 98053-7616, UNITED STATES

Contact Details

E-Mail: COURTNEYM0701@GMAIL.COM
Phone Number: +1 425-301-7698

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
COURTNEY MARTIN Registered Agent 21055 NE 91ST ST, REDMOND, WA, 98053-7616, UNITED STATES

Key Officers & Management

Name Role
COURTNEY MARTIN Governing Person

National Provider Identifier

NPI Number:
1174367270
Certification Date:
2024-06-23

Authorized Person:

Name:
MISS COURTNEY LYNN MARTIN
Role:
OWNER/EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

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