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Behavioral Analyst

Clarkston, Washington

Provider NPI: 1396983854

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 509-758-3341  Fax: 509-769-6057

Business Mailing Address:
Tel: 509-758-3341  Fax: 509-769-6057

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number


Other Provider Identifiers:

ST OF WA LH00009916LH00009916WA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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