OrganizationActive
Functional Adaptive and Behavioral Supports LLC
NPI 1174367270 · Community/Behavioral Health Agency · Redmond, WA
Provider details
- NPI number
- 1174367270
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Courtney Martin, Owner/Executive Director(425) 301-7698
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21055 Ne 91st St
Redmond, WA 98053-7616
Phone: (425) 301-7698
Street-level locationGet directions
Mailing address
21055 Ne 91st St
Redmond, WA 98053-7616
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2024-06-24
- Certified
- 2024-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.