Center Of Excellence Applied Behavioral Analysis Apple .

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Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersThe following professions listed are considered Centers of Excellence clinicians per WAC 182-531A-0800. A developmental pediatrician A neurologist A pediatric neurologist A psychiatrist A psychologistAll qualified providers may not be included on the COE list below. Other provider types that have completed the University of Washington (formerly Seattle Children’s) COEtraining are also considered COE’s. Check with your primary care providers about a referral for these professions.(For more information on Developmental Disabilities Administration referrals.)*Enrollees in Apple Health Managed Care plans should contact their plan for providers in networkApple Health Managed Care Plans AMG - Amerigroup 1-833-324-2088 CCW – Coordinated Care of Washington AHCC (Apple Health Core Connections/Foster Care) 844-354-9876 CCW – Coordinated Care of Washington AHMC (Apple Health Managed Care) 877-644-4613 CHPW – Community Health Plan of Washington 800-440-1561 MHW – Molina Healthcare of Washington, Inc. 800-869-7175 (TTY 711) Ext. 147183 or aba@molinahealthcare.com UHC -- United Healthcare Community Plan (866) 456-5376For updates to this list, please email aba@hca.wa.gov.Updated 5/5/2022 MKPage 1 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityAll CountiesParkview Medical Group,Inc.All CountiesSeattle Children’s AutismCenterErin EasleySeattle Children’sNeurodevelopmentalClinicJulia MitzelAll CountiesAll CountiesSeattle Children’sPsychiatry andBehavioral Medicine UnitAll CountiesMary Bridge Children’sOutpatient CenterDevelopmental BehavioralPediatricsUpdated 5/5/2022 MKContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsite(509) 766-9450Jill A. Dudik Bross, MD,FAAPparkviewmg.org(206) 987-8080Lindsey Miller, ARNP,Karen Sporn, ARNP,Dora Hall, ARNP,Katelyn Cotter, ARNP,and Marcia Lee, r/(206) 987- 2210Elizabeth A. Kaukl, DNP,MN, ARNP, Julia Mitzel,ARNP, and Alise Owens,FNP-BC, ental(206) 987 2000Arrum Alice GoodwinYoon, vioral-medicine-unit0-20 years0-20 yearsContact: Betsie Walter RN,Autism Nurse NavigatorBirth to 18 years.(253) 403-4437,option 21. Dr. Bradley Hood MD,Medical Director2. Dr. Kimberly JohnsonMDwww.marybridge.orgPage 2 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberYellow Brick ClinicAsotin andGarfieldQuality Behavioral HealthServicesAdamsJulie Krainick, ARNPAdams, Grant,and FranklinAdams, Grant,and FranklinWebsite3. Mary Chmelik ARNP(attestationattached)4. Vanessa Martin ARNP5. Angela Kenny ARNPReferral is required.All CountiesCenter of ExcellenceProvider(425) 777-5467Mandie Gardener,PMHNPBC and KathleenJohnson, ARNPwww.yellowbrickclinic.comDanika Gwinn(509) 758-3341Allen M. Ernster, MDqbhs.org0-10(509) 952-3493Julie Krainick, ARNPColumbia Basin HealthAssociation(509) 488-5256Vanessa Frank, ARNPColumbia Basin HealthAssociation(509) 488-5256Gabriel Barrio, MDUpdated 5/5/2022 MKPage 3 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityAdams, Grant,and FranklinColumbia Basin HealthAssociationBentonPediatrics for YouBenton andFranklinPediatrics For YouBenton andFranklinKadlec Clinic PascoBenton andFranklinPublic PhoneNumberCenter of ExcellenceProvider(509) 488-5256Michelle Taylor, ARNP(509) 572-2201Shakti K Matta, MDwww.pediatricsforyou.com(509) 572-2201Carrie Lamb, MPAS, PA-Cwww.pediatricsforyou.com(509) 942-3170Aaron Richardson, DOKadlec Behavioral Health(509) 942-2023Angela Hamel, DNP,ARNP, PMHNP-BCBenton andFranklinChildren's DevelopmentCenter(509) 735-1062X 249Geanine FrostBenton andFranklinThree Rivers Psychiatry(509) 940-5577Angela Combs, ARNP,PMHNPUpdated 5/5/2022 MKContact Person /NotesEstablished patientsonlyAges e 4 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityBenton andFranklinPublic PhoneNumberCenter of ExcellenceProviderTri-Cities CommunityHealth(509) 547-2204Elizabeth Vossenkemper,MSN, RN, CPNP-PCChelanCascade Medical Center(509) 548-5815Matthew Moholy, PhDChelan andDouglasConfluence(509) 663-8711Philip Milnes, MDwww.confluencehealth.orgChelan andDouglasConfluence(509) 663-8711Teodor Butiu, MDwww.confluencehealth.orgChelan andDouglasConfluence(509) 663-8711Ellen Mateo, MDwww.confluencehealth.orgBenton andFranklinPediatrics For You(509) 572-2201Carrie Lamb, MPAS, PA-Cwww.pediatricsforyou.comChelan andDouglasConfluence(509) 663-8711Petra Swidler, MDwww.confluencehealth.orgUpdated 5/5/2022 MKContact Person /NotesWebsitePage 5 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityChelan andDouglasPublic PhoneNumberCenter of ExcellenceProviderWebsiteConfluence(509) 663-8711Daniel Pugmire, MDwww.confluencehealth.orgChelan andDouglasConfluence(509) 663-8711Anne Jarmin, PA-Cwww.confluencehealth.orgChelan andDouglasConfluence(509) 663-8711Patrick Carrillo, PhDwww.confluencehealth.orgDouglas, Grant,and OkanaganConfluence(509) 436-4004Alana Benson, ARNPwww.confluencehealth.orgChelan andDouglasWenatchee ValleyMedical Center(Confluence Health)(509) 663-8711Susan Marney, ARNPChelan, andDouglasColumbia ValleyCommunity Health(509) 682-6000x1462Christine C. Wineberg,Psy.D.www.cvch.orgChelan andDouglasConfluence(509) 644-0924Brenda Baumeister, MDwww.cvch.orgUpdated 5/5/2022 MKContact Person /NotesJana RoyPage 6 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityChelan andDouglasPublic PhoneNumberCenter of ExcellenceProviderWebsiteColumbia ValleyCommunity Health(509) 682-6000X 1462Christine Wineberg,Psy.D.www.cvch.orgChelan andDouglasColumbia ValleyCommunity Health(509) 662-6000Sara Ronhovde, PhDwww.cvch.orgChelan andDouglasColumbia ValleyCommunity Health(509) 662-6000Nyssa Petersen Ventura,PhDChelan andDouglasColumbia ValleyCommunity Health(509) 662-6000Erin Cudney, ARNPwww.cvch.orgChelan andDouglasColumbia ValleyCommunity Health(509) 662-6000Abigail ShepherdBeyenberg, PhDwww.cvch.orgChelan andDouglasColumbia ValleyCommunity Health(509) 663-8767Jerry Crawford, MDwww.cvch.orgDouglas andYakimaCatholic Charities(509) 670-2387Robi Nelson, PsyD. D.Updated 5/5/2022 MKContact Person /NotesPage 7 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteClallamPeninsula Children'sClinicEmily Fosnes(360) 565-0999opt 3Lindsey Harms, MD;Laura Bullen, MDwww.olympicmedical.orgClarkCatholic CommunityServicesTyler McKay(360) 567-2211Carla Crockford, ARNPClarkCatholic CommunityServicesTyler McKay(360) 567-2211Margaret Ngai, DNP,PMHNP-BCClarkLegacy Salmon Creek(360) 487-1000Lalaine DimagibaSebastian, MDClarkSea Mar CommunityHealth Center(360) 566-4402Jacqueline Baker, DMP,CPNP-PC, ARNPClarkSea Mar CommunityHealth Center: East(360) 726-6720Joanne “Jodi” M. Wallis,PNPClarkThrive PsychologyServices(360) 719-2852Caroline Grantz, PhDUpdated 5/5/2022 MKNilsawww.seamar.orgwww.thrivepsych.comPage 8 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityClarkSea Mar CommunityHealthClarkThe Vancouver ClinicSurroundingAreasPublic PhoneNumberCenter of ExcellenceProvider(360) 566-4402Rachel Williamson, ARNP(360) 882-2778Andrew J. Rodriguez,Ph.D.www.tvc.orgThe Vancouver Clinic(360) 882-2778Mary Frances ThereseLowdermilk, MDwww.tvc.orgCowlitz, Clark,Lewis, Pacific,andWahkiakumPeaceHealth MedicalGroup(360) 414-2385Gretchen M. Potschka,MDCowlitz, Clark,Lewis, Pacific,andWahkiakumPeaceHealth MedicalGroup(360) 414-2385David Myers, MDUpdated 5/5/2022 MKContact Person /Notes0-21 years. Only takingreferrals from patientswith a primary careprovider at theVancouver Clinic.Websitewww.peacehealth.orgPage 9 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityCowlitz, Clark,Lewis, Pacific,andWahkiakumPublic PhoneNumberCenter of ExcellenceProviderWebsitePeaceHealth MedicalGroup(360) 414-2385Mai Nitta, MDwww.peacehealth.orgCowlitz, Clark,Lewis, Pacific,andWahkiakumPeaceHealth MedicalGroup(360) 414-2385Erin Harnish, MDwww.peacehealth.orgCowlitz, Clark,Lewis, Pacific,andWahkiakumPeaceHealth MedicalGroup(360) 414-2385Christine Crank, MDwww.peacehealth.orgCowlitzChild and AdolescentClinic(360) 577-1771Anne Mette Smeenk )Columbia Wellness(360) 423-0203Shlomit Smargon, PsyDwww.columbiawell.orgUpdated 5/5/2022 MKContact Person /NotesPage 10 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteCowlitz andPierceContinuity HealthServicesKirt Katon(253) 380-4944Lisa Katon, DNP, ARNPN/ADouglasCounty-SeeChelan CountyGrantConfluence(509) 764-6400Karen Lindberg, MDwww.confluencehealth.orgGrantConfluence(509) 764-6400Debra Pugh, ARNPwww.confluencehealth.orgGrantConfluence(509) 663-8711Joshua Ventura, PhDwww.confluencehealth.orgGrant and allother countiesParkview Medical Group,Inc.(509) 766-9450Jill A. Dudik Bross, MD,FAAPparkviewmg.orgGrays HarborSummit Pacific(360) 346-2222Jessica Jurasin, ARNPSummit Pacific Medical CenterGrays andThurstonSpring Tide FamilyHealth(360) 209-4135Laura Galati, NDPrimary Care Physician Spring Tide Family HealthUpdated 5/5/2022 MKPage 11 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderGrays HarborHighland PediatricsKaren Mellott(360) 537-6332Jarrett E Riley, DOGrays Harbor,Lewis, Mason,and ThurstonSean R. White, MD(360) 637-8108Sean R. White, MDIslandPediatric Associates ofWhidbey Island(360) 675-5555x25Amy Garrett, MDPediatric Associates Whidbey Island Pediatricians Oak Harbor, and Freeland WA(pediatricsofwhidbey.com)IslandPediatric Associates ofWhidbey Island(360) 675-5555x25Michele L. Gasper, MDPediatric Associates Whidbey Island Pediatricians Oak Harbor, and Freeland WA(pediatricsofwhidbey.com)Island and SanJuanPediatric Associates ofWhidbey Island(360) 675-5555x25John R. Beumer, MDPediatric Associates Whidbey Island Pediatricians Oak Harbor, and Freeland WA(pediatricsofwhidbey.com)Island and SanJuanConnections Psychology(206) 718-0906Julie Davies, PhDConnectionsTitle - Connections PsychologyUpdated 5/5/2022 MKWebsitePage 12 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityIsland and SanJuanSouth WhidbeyPediatricsKing and PierceHealthPoint CommunityHealth CenterKing, Pierce,and SnohomishContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsite(360) 331-1314Robert Wagner, MDPediatric Associates Whidbey Island Pediatricians Oak Harbor, and Freeland WA(pediatricsofwhidbey.com)Existing Patients onlyAges 24-36 months(253) 735-0166Beth Nauert, MDVital Kids MedicineAlex Evans 2-18 years(206) 518-8938Lisa Yang, NDVital Kids MedicineSnohomish,Skagit,Whatcom, andSan JuanCompass HealthJamie St. Aubin, MA(425) 349- 8480Michael Ramsey, DO, MSwww.compasshealth.orgKing andSnohomishTreehouse FamilyMedicine(206) 203-2509Mattie Bly, ND, MPHDr. Ramsey specializesin the evaluation,diagnosis, andtreatment of children,teens, and youngadults.Updated 5/5/2022 MKPage 13 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteKing andSnohomishPacific Medical Centers0-21 years(425) 412-7200Nawal Alkharouf, MDPacific Medical Center - Canyon Park Canyon ParkMedical Clinic Canyon Park Doctor(pacificmedicalcenters.org)King and AllCountiesSeattle Children’s AutismCenterErin Easley(206) 987-8080Lindsey Miller, ARNP,Karen Sporn, ARNP,Dora Hall, ARNP,Katelyn Cotter, ARNP,and Marcia Lee, r/King and AllCountiesSeattle Children’sNeurodevelopmentalClinicJulia Mitzel(206) 987- 2210Elizabeth A. Kaukl, DNP,MN, ARNP, Julia Mitzel,ARNP, and Alise Owens,FNP-BC, entalKing and OtherCountiesUniversity of WashingtonAdult Autism Clinic18-20 years(206) 598-3100Cherrie Palmer, dessa Brown Children’sClinicUnder 21 years(206) 987-7200Alix Dassler, Updated 5/5/2022 MK0-20 years0-20 yearsPage 14 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderKingVashon Island HighSchool- SBHCAges 4-19(206) 548-7550Meghan BergeronKingNeighborcare at VashonIsland High SchoolEvaluations forstudents that are partof Vashon IslandSchool district or liveon Vashon Island(206) 548-7550Hannah Harper, hschoolKingEastgate Public HealthCenter 36 months(206) 477-8000Sam ChattertonKirchmeier, MDEastgate Public Health Center - King CountyKingHealthpointOnly able to do AutismEvaluation forHealthPoint patients.No outside referrals.Age 18-36 months.Patients need to haveprimary care providerwithin HealthPoint.(253) 735-0166Nidhi Goel, ARNPWelcome to HealthPoint Everyone Deserves GreatCare HealthPoint Washington (HealthPointchc.org)Updated 5/5/2022 MKWebsitePage 15 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteKingHealthPoint CommunityHealth Center0- 36 months(206) 835-2615Mary Alison KoehnkeND, FABNPWelcome to HealthPoint Everyone Deserves GreatCare HealthPoint Washington (HealthPointchc.org)NeighborCare Health,School-Based HealthCenterDearborn ParkElementary Clinic: 2820Orcas St, Seattle 98108(206) 548-3151Noelle Tripp, ARNPSchool-based Neighborcare Health(253) 330-8304Karin Riggs, PsychiatricARNPFamily Counseling , and Therapy Federal Way, WA Twin Lakes (twinlakescounseling.com)(425) 882-1697Geetha Sridharan, MD,MPHKingPatient needs tobecome registered atHealthPoint.Bailey GatzertElementary Clinic: 1301E. Yesler Way Seattle98122KingTwin Lakes Counseling,PLLCRosslyn Rosythe, PsychService Coordinator.Accepting establishedclients and their familymembersKingHealthPoint RedmondUpdated 5/5/2022 MKPage 16 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityKingPublic PhoneNumberCenter of ExcellenceProviderWebsiteChild Psychology, LLC(360) 220-6040Karen Toth, PhDKaren Toth, PhD, Licensed Clinical Psychologist, childpsychology, SeattleKing and AllCountiesYellow Brick Clinic(425) 777-5467Mandie Gardener,PMHNPBC and KathleenJohnson, ARNPwww.yellowbrickclinic.comKingICAN(425) 657-0620Michael Ann Vaughn,ARNPKingBoyer Children's ClinicNeurodevelopmental(206) 325-8477Jennie A. McLaurin, MD,MPHKingJames Keyes, PhD(206) 901-6300James Keyes, PhDKingHope Central Pediatrics,and Behavioral Health(206) 455-9845Patricia Scott, MD,Thomas Brasted, PsyD,Thanh Kirkpatrick, MD,Christopher Jones, MDHopeCentral (hopecentralhealth.org)KingNeighbor Care Columbia(206) 461-6957Kimberly McDermott,Home Neighborcare HealthUpdated 5/5/2022 MKContact Person /NotesNeighborCare Patientswww.boyercc.orgPage 17 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesCityOnlyKingNeighborCare HealthKingNeighborCare SchoolBased Health ClinicKingNeighborCare SchoolBased Health ClinicUpdated 5/5/2022 MKPublic PhoneNumberCenter of ExcellenceProviderWebsiteMD(206) 548-3172Anne Guion, ARNPLimited toNeighborCare HealthSchool- Based / SeattlePublic Schoolsstudents. West SeattleElementary/HighlandPark Elementary. Clinicclosed during summer.(206) 548-5994Shellie Stockfish, ARNPUnder age 18.NeighborCare HealthSchool-Based HealthCenter Patients/SeattlePublic School Students(206) 933-7842Sonya Luchauer, ARNPMadison Middle School Neighborcare HealthPage 18 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderKingCleveland School-BasedHealth Center; PublicHealth Seattle of KingCountySeattle Public Schools(SPS) students (K-12),and any SPS preschoolstudents whoseparents/legal guardiansregister to ourCleveland SchoolBased Health Center(206) 263-8317Aneta KucharczykSwamy, ARNPKingKindering(425) 747-4004Dan Tolson, MDKingSea Mar CommunityHealth Center(206) 762-3730Morgan Busse, ARNPKingSea Mar Medical Center(206) 762-3730Maris Burgos-Martinez,ARNPSea Mar -Community Health CentersKingPacific MedicalCenter/Northgate(206) 517-6700Manny Eusebio, MDWelcome to Pacific Medical Centers - Pacific MedicalCentersKingErin Olson, PhD206.552.0757Erin Olson, PhDSeattle Behavior Consulting, and TherapyUpdated 5/5/2022 MK 6 yrs.WebsitePage 19 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsite(sbctsite.com)KingMercer Island Pediatrics(206) 275-2122Julie Ellner, MDKingSwedish Medical GroupIssaquah Primary Care(425) 313-7141Jennifer Hannon, ARNPKingSwedish PediatricsRedmond(425) 881-5437Neeta Tyagi Jain, MDKingUniversity of WashingtonAutism Center(206) 221-6806Jessica Greenson, PhD,Director of ClinicalServicesUW Autism Center Center on Human Development,and Disability - UW Autism (washington.edu)KingValley Medical CenterNeuroscience Center(425) 690-3585Judi Li, DOValley Medical Center Pediatric NeurologyUpdated 5/5/2022 MKAges 0-18Page 20 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteKingValley MedicalCenter/PediatricNeurology ClinicAges 0-18(425) 656-5566Kevin Joseph, DOValley Medical Center Pediatric NeurologyKingUW Child DevelopmentClinic, Center on HumanDevelopment andDisability(206) 598-9346Anne Leavitt, MDCHDD home (washington.edu)KingHealthPoint Auburn(253) 735-0166Varsha Raghaven, DOSouth KingCountySea Mar CommunityHealth Center, SeattleMedical(206) 762-3730Christina L. Pease, MDSea Mar -Community Health CentersSouth KingCountySea Mar CommunityHealth Center, FederalWayNgoc Nguyen - 5-8years old only.(253) 681-6600Heather Buzbee, CPNPCPSea Mar -Community Health CentersMuckleshoot Health andWellness CenterJeremy PangelinanKing and PierceUpdated 5/5/2022 MKNgoc Nguyen, MD(253) 939-6648Elizabeth SnapinnTribal Clinic. EligiblePage 21 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProvider(253) 874-7634Jessica Pogachar MD,MPHWebsitetribal members onlyKing and PierceHealthPointAges 18-36 monthsHealthPoint patientsonlyKing and PierceSea Mar CommunityHealth Center(253) 593-2144Nan Shin Moynihan, MDKing and PierceHealthPoint Kent(253) 852-2866Christina Lindell, MDKing and PiercePediatrics NW(253) 927-3243Priyanka Kawali, MDhttps://www.pedsnw.net/(206) 546-2421David de Give, MDRichmond Pediatrics (richmond-pediatrics.com)18 months to 4 years.Hindi language.King andSnohomishRichmond PediatricsStefanie Paige.Ages 18 and under.Richmond Pediatricspatients only.Updated 5/5/2022 MKPage 22 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityKing andBellevueKaiser PermanenteKitsapLifespan PsychologicalServices, PSKitsapPublic PhoneNumberCenter of ExcellenceProvider(425) 562-3800Jeff Vannice, PhDGail Nakata(206) 780-7782Steven E. Curtis, PhDwww.lifespanps.comHolly Ridge CenterNeurodevelopmentalCenterAlicia Skelly, ProgramDirector(360) 373-2536Grace Gasior, MSN, PNPPCHome - Holly RidgeKitsapKitsap Children's ClinicLLPShannon(360) 692-9362R Barney Voegtlen MDFAAPKitsap Children’s Clinic: Pediatrician in Silverdale andPort Orchard, WA (kitsapchildrensclinic.com)KitsapKC Family Hope Center(360) 567-6109Karen Casseday, ARNPKC Family Hope Center When the world says giveup, HOPE whispers TRY one more time! (kcfamily.com)Kitsap: OlympicPeninsulaKaiser Permanente ofWashington(360) 782-1700Meghann Sprague, MDUpdated 5/5/2022 MKContact Person /NotesOlder children.WebsiteInsurances accepted:Kaiser Permanente orMolinaPage 23 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityKitsap andPierceContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteKaiser PermanenteWashington Kaiser PortOrchard Medical Center(360) 895-5000Brian Joey Que, MDKitsapThe Doctor's Clinic(Poulsbo)(360) 782-3500Bradley T. Anderson, MDWelcome to The Doctors ClinicKlickitat andSkamaniaNorth Shore MedicalGroupCindy Robertson(509) 493-2133Greg Zuck, MDChristina Sadler ages18 months to 12 years.OrChristina Sadler, MDHome - NorthShore Medical Group (northshoremedical.com)(509) 427-4212Alicia Giménez, MDGreg Zuck ages 4 to 18.Alicia Giménez ages 4to 18. Spanishlanguage.LewisNorthwest PediatricCenter(360) 736-6778Stacey Villanueva, PsyD.D.Northwest Pediatrics Compassionate Care For YourChild (nwpeds.com)LewisNorthwest PediatricCenter(360) 736-6777Lily Lo, MDNorthwest Pediatrics Compassionate Care For YourChild (nwpeds.com)Updated 5/5/2022 MKPage 24 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityMasonPublic PhoneNumberCenter of ExcellenceProviderMason General Hospital(360) 426-2653Alexandra Rhodes, MDMasonMason General Hospital(360) 426-2653Iris Malit, MDMason, GraysHarbor andPacificOakland Bay Pediatrics(Mason GeneralHospital)(360) 426-3102Therese Pizanti, ARNPMason Clinic - Pediatrics Mason General Hospitaland Family of ClinicsMason, GraysHarbor andPacificOakland Bay Pediatrics(Mason GeneralHospital)(360) 426-3102Rose Rayos, MDMason Clinic - Pediatrics Mason General Hospitaland Family of ClinicsMason, GraysHarbor, andPacificOakland Bay Pediatrics(Mason GeneralHospital)(360) 426-3102Binod Tuladhar, MDMason Clinic - Pediatrics Mason General Hospitaland Family of ClinicsOkanagan andDouglasFamily Health Centers(509) 689-2525Leesa Linck, MDMy Family HealthOkanaganMid-Valley Clinic(509) 826-1600Leslie Hite, ARNP-Updated 5/5/2022 MKContact Person /NotesWebsitePage 25 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsitePMHNPPacificValley View HealthCenterPacific(360) 330-9595Ashley Taylor, ARNPWillapa BehavioralHealth(360) 642-3787MaryAnne Murray,ARNP, Suzan Dula, PsyD,PA-CPacificWillapa Harbor HospitalClinic(360) 875-5526Steven Hill, DOPierce, Cowlitz,Lewis, andThurstonT-Town Pediatrics PLLC(253) 338-6218Jennifer Steel, CPNPPiercePediatrics Northwest P.S.(253) 851-5665Lisa Oberlander, ARNPUpdated 5/5/2022 MKProvider is located atthe Raymond Clinic inPacific CountyNot doing evaluationsat this pedsnw.netPage 26 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderPierceMary Bridge ChildrensHospitalDevelopmentalBehavioral Pediatrics(253) 403-4437Vanessa Martin, ARNPPierce, SouthKing, Thurston,Lewis, andGrays HarborMary Bridge NeonatalFollow Up ClinicChildren with history ofNICU stay or otherissues contributing tovulnerable perinatalhistory, includinggenetic syndromes andcongenital anomalies,forneurodevelopmentalassessment from birththrough age three.(253) 403 1442John Derrick, ARNPPierceMary Bridge PediatricsWoodcreekBrenda Collins(253) 446- 3240Ariel Zak, ARNPPierceUniversity of WashingtonAutism Center Tacoma(253) 692-4711Patti Matestic, PHDUpdated 5/5/2022 MKWebsiteAngie Yurie Kenny, ARNP(PCP referrals only)www.marybridge.orgUW Autism Center - Tacoma - UW Autism(washington.edu)Page 27 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsitePierceSea Mar CommunityHealth Center TacomaHarry Franqui(253) 293-2144Megan Wells, MDwww.seamar.orgPierce andCowlitzContinuity HealthServicesKirt Katon(253) 380-4944Lisa Katon, DNP, ARNPPiercePuget Mental CareNo plans to takeevaluations at this time.(253) 503-6761Amity Tucker, ARNPPierce: PuyallupWoodcreek Pediatrics byMary Bridge(253) 848-8797Emily Winn, ARNPWoodcreek Pediatrics - Mary Bridge Children's Woodcreek Pediatrics - Mary Bridge Children's(woodcreekhealthcare.com)Pierce: PuyallupSea Mar CommunityHealth Center-PuyallupFluent in Spanish/Habla Español(253) 864-4550Daniel Delgado, MD (SeHablo llup.htmlPierce: TacomaMary Bridge Children'sHealth Center, PediatricReferrals throughprimary care provideronlyPierce: TacomaOlympic PsychologyUpdated 5/5/2022 MKBetsie Walter, RN, BSN(253) 269-6063Lisa Hardebeck, PhDolypsych.comPage 28 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProvider(360) 317-5755Mark Fishaut, MD, FAAPWebsiteServicesSan JuanEventide Health CareSkagitSkagit PediatricsSkagitHolland PsychologySkagitSkagit PediatricsSkagit andIslandAnacortes FamilyMedicineSkagitSkagit Regional HealthPediatricsUpdated 5/5/2022 MKOnly established SkagitPediatrics PatientsOnly established SkagitPediatrics PatientsOnly established SkagitRegional HealthPatients(360) 428-2622Pediatrician Mount Vernon, WA - Skagit Pediatrics Pediatrics for Family HealthElizabeth Holland, PhDwww.hollandpsychology.com(360) 428-2622Richard Levine, MDPediatrician Mount Vernon, WA - Skagit Pediatrics Pediatrics for Family Health(360) 299-4211Brandon Greene, MD(360) 814-6800Mari Oathes, DOHome (skagitregionalhealth.org)Page 29 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsiteSkagitSkagit Regional HealthPediatricsOnly established SkagitRegional HealthPatients(360) 814-6800Annalee Paul, MDHome (skagitregionalhealth.org)SkagitSkagit Regional ClinicsRiverbendOnly established SkagitRegional HealthPatients(360) 814-6800Cheryl De Silva, MDHome (skagitregionalhealth.org)SkagitSkagit Regional ClinicsFamily MedicineOnly established SkagitRegional HealthPatients(360) 814-6230Collin Brooksby Hafen,DOHome (skagitregionalhealth.org)SkagitSkagit Regional ClinicOnly established SkagitRegional HealthPatients(360) 814-6800Mariel Castillo, MDHome (skagitregionalhealth.org)SkagitSkagit Regional ClinicOnly established SkagitRegional Healthpatients(360) 814-6800Rowena NarvadezPusateri, MDHome (skagitregionalhealth.org)Snohomish,Skagit, andSkagit Regional HealthNot taking new primarycare patients at this(360) 657-8840David M. Escobar, DO,MPH, FAAFPUpdated 5/5/2022 MKPage 30 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityIsland countiesContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsite(360) 814-6621Jovita C. D’Souza, ARNPwww.skagitregionalhealth.orgtime but will happilysee patients forconsults who haveanother, establishedprimary care provider.SnohomishSkagit Regional Clinic,Family Medicine SPSnohomish andSkagitSkagit Regional ClinicSmokey Point(360) 657-8840Savannah Keith, ARNPHome (skagitregionalhealth.org)Snohomish andSkagitSkagit Regional ClinicSmokey Point(360) 657-8840Ashleigh Adkins, ARNPHome (skagitregionalhealth.org)Updated 5/5/2022 MKKatrina BaileyPage 31 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesSnohomish andKingSandbox Therapy GroupSnohomish andKingThe Everett Clinic atShorelineSnohomish andKingFlourish Family MedicineSnohomish andKingCommunity HealthCenter of SnohomishCountyUnder 18 years.SnohomishThe Everett ClinicSusana MyersEstablished patients atany Everett ClinicPublic PhoneNumberCenter of ExcellenceProviderWebsite(425) 558-0558Anna DiNoto, PsyD,LMHCTherapy - Psychologist - Counseling Kirkland/Redmond (sandboxtherapy.com)(206) 401-3200Kristi Kiyonaga, MD(425) 286-8803Jean Hung, MD(425) 835-5200Cynthia D. Bader, MDCommunity Health Center of Snohomish County(chcsno.org)(425) 493- 6002Susana Myers. DOwww.everettclinic.comNot currently acceptingnew patients.Spanish SpeakerUpdated 5/5/2022 MKPage 32 of 46

Center of Excellence Applied Behavioral Analysis Apple Health Fee for Service ProvidersService AreaFacilityContact Person /NotesPublic PhoneNumberCenter of ExcellenceProviderWebsite(425) 293-0107Riddhi Blow, NDHome Medical Clinic McQuinn Naturopathic Everett, WAJenna C Paul, ARNP,FNP-CTherapy - Psychologist - Counseling Kirkland/Redmond (sandboxtherapy.com)Habla EspañolSnohomishMcQuinn NaturopathicSnohomishSea Mar CommunityHealth Center EverettSnohomishSea Mar CHCSnohomishThe Everett ClinicSnohomish(425) 312-0202LindseyAnagnostopoulos, ARNP(425) 339-5450

AMG - Amerigroup (855) 323-4688 Ext. 1061035173 CCW – Coordinated Care of Washington AHCC (Apple Health Core Connections/Foster Care) (844) 354-9876 CCW Coordinated Care of Washington AHMC (Apple Health Managed Care) (877) 644-4613