Individual
TAYLOR SHEA MCGUIRE IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9714 3RD AVE NE STE 206, SEATTLE, WA 98115-2046
(206) 636-1101
Mailing address
11032 20TH AVE NE, SEATTLE, WA 98125-6552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
61482132
WA
Other
Enumeration date
08/09/2022
Last updated
09/12/2023
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