Individual
HIBAQ OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22415 SE 231ST ST, MAPLE VALLEY, WA 98038-5000
(425) 906-4300
Mailing address
26821 27TH PL S, KENT, WA 98032-7994
(206) 488-7375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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