Individual
BLAYNE D STEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4909 25TH AVE NE, SEATTLE, WA 98105-4107
(206) 987-8080
Mailing address
14120 NE 183RD ST UNIT 313, WOODINVILLE, WA 98072-7073
(479) 422-7396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60906696
WA
Other
Enumeration date
05/17/2017
Last updated
01/03/2019
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