Individual
JOHNATHAN JOSE LIPORADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22415 SE 231ST ST STE B103, MAPLE VALLEY, WA 98038-5002
(425) 906-4300
Mailing address
22415 SE 231ST ST STE B103, MAPLE VALLEY, WA 98038-5002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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