Organization · Type 2 NPI

Wonderland Child & Family Services

Developmental Disabilities Clinic/Center · Shoreline, WA

NPI number 1003478660 Active

Practice location

2402 NW 195th Pl
Shoreline, WA 98177-2932

Call (206) 364-3777 Map

Fax (206) 364-3999

Mailing address

1909 214th St SE Ste 204
Bothell, WA 98021-4415

Other practice locations

1909 214th St SE Ste 204, Bothell, WA 98021-4415 · (425) 219-4788

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Pediatric Physical Therapist	2251P0200X	None listed
Occupational Therapist	225X00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed
Developmental Disabilities Clinic/Center Primary	261QD1600X	None listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

33 other providers at this address

NPI record

NPI: 1003478660
Entity type: Organization (Type 2)
Issued: Jul 3, 2019
Last updated: Aug 16, 2019
Status: Active

Other names

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Wonderland Developmental Center · former legal business name
Wonderland Developmental Center · former legal business name

Authorized official

Kristi Johnson
Billing Specialist
(206) 364-3777

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003478660

Wonderland Child & Family Services's National Provider Identifier is 1003478660, issued on Jul 3, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Shoreline, WA. The record was last updated on Aug 16, 2019.