Individual
CHRISTIAN TYLER VASILEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBT
Contact information
Practice address
14524 MAIN ST NE STE 111, DUVALL, WA 98019-8467
(425) 505-1320
Mailing address
11501 STONE AVE N APT C121, SEATTLE, WA 98133-8317
(360) 929-9741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61226309
WA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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