Individual
ELMER MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
8284 28TH CT NE, LACEY, WA 98516-7161
(360) 915-6868
Mailing address
4405 5TH AVE NW, OLYMPIA, WA 98502-8188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60899203
WA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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