Individual
BRENNA ROSE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13010 NE 20TH ST STE 300, BELLEVUE, WA 98005-2054
(425) 644-6328
Mailing address
12025 131ST LN NE APT E200, KIRKLAND, WA 98034-8074
(509) 832-2129
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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