Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Supported Living

Organization Behavior Technician · NPI 1124767587

Evergreen Supported Living is a Behavior Technician in Bellingham, Washington. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
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Practice location Address checks out

305 Flora St
Bellingham, WA 98225-4430
Phone: (360) 671-5898
Fax: (360) 922-0648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1970 Fraser St Apt 106, Bellingham, WA 98229-3794 — (360) 671-5898

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Behavior Technician Taxonomy 106S00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1124767587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zay McShane — Executive Director · (360) 671-5898
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address305 Flora St, Bellingham, WA 98225-4430

Other providers in Bellingham