Organization
PACIFIC NORTH WEST AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DORN (PRESIDENT)
(360) 348-6414
Entity
Organization
Contact information
Practice address
4170 COUGAR RD, BELLINGHAM, WA 98226-9143
(360) 348-6414
Mailing address
4170 COUGAR RD, BELLINGHAM, WA 98226-9143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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