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

Raven Herzog

Individual provider Behavior Analyst · NPI 1104271295

Raven Herzog is a Behavior Analyst in Longview, Washington. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

720 14th Ave
Longview, WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1104271295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020
Mailing address13256 Ne 20th St Ste 1, Bellevue, WA 98005-2021

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