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Organization
B.A.N.D.S.
Active
Organization
B.A.N.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAYDON AGAR BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(206) 618-4673
Entity
Organization
Contact information
Practice address
819 VIRGINIA ST UNIT 1603, SEATTLE, WA 98101-4425
(206) 618-4673
Mailing address
2324 177TH STREET CT E, TACOMA, WA 98445-4279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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