Individual
GRACE PICCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S STE 260, SEATTLE, WA 98144-4644
(206) 382-5340
Mailing address
2100 24TH AVE S STE 260, SEATTLE, WA 98144-4644
(206) 382-5340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60920282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026117
—
WA
Enumeration date
02/27/2019
Last updated
07/31/2019
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