Individual
TRICIA BOUSHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
744 FAWCETT AVE, TACOMA, WA 98402-5505
(425) 292-9171
Mailing address
15022 47TH AVE E, TACOMA, WA 98446-4038
(253) 307-1302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29262
WA
Other
Enumeration date
02/09/2018
Last updated
01/22/2025
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