Individual
MS. ELAINE FRIEDERIKE TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1380 112TH AVE NE STE 206, BELLEVUE, WA 98004-3759
(425) 287-2009
Mailing address
10347 MIDVALE AVE N APT 5, SEATTLE, WA 98133-9449
(425) 287-2009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61397989
WA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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