Individual
FARTUN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 116TH AVE NE, 102, BELLEVUE, WA 98004-3815
(206) 437-5412
Mailing address
1240 116TH AVE NE, 102, BELLEVUE, WA 98004-3815
(206) 437-5412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
03/16/2017
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