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Individual
BRANDON MARSICEK
Active
Individual
BRANDON MARSICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60675292
WA
103K00000X
Behavior Analyst
Primary
61079809
WA
106E00000X
Assistant Behavior Analyst
AB60967560
WA
Other
Enumeration date
07/27/2016
Last updated
09/15/2020
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