Individual provider · Type 1 NPI
Matt Childs
Supports Brokerage Agency · North Bend, WA
Practice location
1315 11th Ct SW
North Bend, WA 98045-7989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage Agency Primary | 251X00000X | 1031895 (WA) |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
About NPI 1134717747
Matt Childs's National Provider Identifier is 1134717747, issued on Jan 8, 2021. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in North Bend, WA. The record was last updated on Jan 8, 2021.