Search › Washington › 101YA0400X
Blake Moss
NPI 1326837931 · on the registry since 2025
Practice
- Address
- 4425 Issaquah Pine Lake Rd Se Apt I14
Sammamish, WA 98075 - Phone
- (832) 943-7204
- Organisation at this address
- Brighttrek Aba Therapy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington