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Individual

GRANIA BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
317 NW GILMAN BLVD STE 50, ISSAQUAH, WA 98027-2485
(425) 459-5214
Mailing address
317 NW GILMAN BLVD STE 50, ISSAQUAH, WA 98027-2485
(425) 459-5214

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61601195
WA

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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