Individual
SHANNON STARKWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12040 98TH AVE NE, #204, KIRKLAND, WA 98034-4290
(425) 409-4806
Mailing address
14212A JEFFERSON WAY, LYNNWOOD, WA 98087-1904
(425) 780-8158
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60462169
WA
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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