Individual
JENEAN RENE CREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MIT
Contact information
Practice address
4425 ISSAQUAH PINE LAKE RD SE X-07, SAMMAMISH, WA 98075-6218
(206) 708-5084
Mailing address
4425 ISSAQUAH PINE LAKE RD SE X-07, SAMMAMISH, WA 98075-6218
(206) 708-5084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61173748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-49022
BOARD ANALYST CERTIFICATION BOARD
—
01
—
BA61173748
LICENSED BEHAVIOR ANALYST
WA
Enumeration date
10/04/2018
Last updated
05/03/2022
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