Individual
VIVINET Y MARQUEZ-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
125 EASY ST, WENATCHEE, WA 98801-5903
(360) 525-1990
Mailing address
125 EASY ST, WENATCHEE, WA 98801-5903
(360) 525-1990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61231380
WA
Other
Enumeration date
07/17/2015
Last updated
03/07/2022
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