Individual
GREGORY ARTHUR WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 502-8245
Mailing address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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