Individual
JACQUELYN WOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(253) 292-4354
(855) 373-4004
Mailing address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(253) 292-4354
(855) 373-4004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
06/05/2026
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