Individual provider · Type 1 NPI

Andy Song, BCBA

Mental Health Counselor · Tacoma, WA

NPI number 1124755954 Active

Practice location

950 Broadway Ste 404
Tacoma, WA 98402-4454

Mailing address

100 N Howard St Ste R
Spokane, WA 99201-0508

Other practice locations

  • 4118 S 224th Pl, Kent, WA 98032-8461 · (253) 970-3771
  • 14524 Main St NE Ste 111, Duvall, WA 98019-8467 · (253) 970-3771

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61300145 (WA)
Behavior Analyst 103K00000XBA61252101 (WA)
Multi-Specialty Clinic/Center 261QM1300XBA61252101 (WA)

Mental Health Counselor: Definition to come...

24 other providers at this address

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About NPI 1124755954

Andy Song, BCBA's National Provider Identifier is 1124755954, issued on Aug 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Jan 9, 2026.