Individual
BRENDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12430 83RD AVE S, SEATTLE, WA 98178
(206) 930-4285
Mailing address
12430 83RD AVE S, SEATTLE, WA 98178-4918
(206) 930-4285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG60599867
WA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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