Individual
ELLIOTT KURTIS MAYER-YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12410 NYANZA RD SW, LAKEWOOD, WA 98499-1447
(253) 588-3055
Mailing address
6210 75TH ST W STE B100, LAKEWOOD, WA 98499-8109
(253) 345-5720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/21/2018
Last updated
10/21/2018
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