Individual
ANDY SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
950 BROADWAY STE 404, TACOMA, WA 98402-4454
(253) 970-3771
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(253) 970-3771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61300145
WA
103K00000X
Behavior Analyst
BA61252101
WA
261QM1300X
Multi-Specialty Clinic/Center
BA61252101
WA
Other
Enumeration date
08/02/2022
Last updated
01/09/2026
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