Individual
MANUEL A SANTIAGO CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4425 ISSAQUAH PINE LAKE RD SE APT B14, SAMMAMISH, WA 98075-6280
(787) 306-8193
Mailing address
4425 ISSAQUAH PINE LAKE RD SE APT B14, SAMMAMISH, WA 98075-6280
(787) 306-8193
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
04/27/2023
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