Individual
JORDAN DERRICK SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 112TH AVE NE STE 260E, BELLEVUE, WA 98004-2937
(206) 388-0544
Mailing address
21620 14TH AVE S APT B102, DES MOINES, WA 98198-8300
(254) 652-3692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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